Mid-Florida Infectious Disease, PA

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

ME69417 Issued in FL

Legal business name

MID-FLORIDA INFECTIOUS DISEASE, PA

Practice address

280 Patterson Rd
Suite 4
Haines City, FL 33844-6261

Phone

(863) 422-8123

Fax

(863) 422-8725

NPI assigned

Oct 16, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

James Patrick Ryan, MD

Title

President

Phone

(407) 894-6618

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1912196841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 568863",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328568863",
            "telephone_number": "407-894-6618",
            "fax_number": "407-894-6619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 PATTERSON RD",
            "address_2": "SUITE 4",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338446261",
            "telephone_number": "863-422-8123",
            "fax_number": "863-422-8725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-FLORIDA INFECTIOUS DISEASE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-894-6618",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME69417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Belinda Medina Rivera, MSPHL
• Medwins Pharmacy Inc
• Megamo Enterprise LLC
• Sarai Mendez
• Jasmin Mercado-Olavarria
• Mihi Therapy
• Marie Miller-Campbell
• Barbara S Miller, O.D.
• Cheryl Ann Miller, M.S., CCC-SLP
• Jorge Miranda Rodriguez, PHARMD

• Infectious Disease Physician in Haines City, FL
• Providers in Haines City, FL by specialty
• Infectious Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.