Family & Internal Medicine Center PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0077164 Issued in FL

Legal business name

FAMILY & INTERNAL MEDICINE CENTER PA

Practice address

11183 S Orange Blossom TRL
Suite a
Orlando, FL 32837-9402

Phone

(407) 859-8686

Fax

(407) 859-7171

NPI assigned

Mar 10, 2008

Organization subpart

No

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

Authorized official

Name

Tahira H Qureshi, MD. ARNPNPI 1114400629

Title

President

Phone

(407) 859-8686

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tahira H Qureshi, ARNP

  • Family Nurse Practitioner
  • Orlando, FL
  • NPI 1114400629
  Medicare reassignment Care Compare group Authorized official
• Imtiaz A Qureshi, MD

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1689687980
  Medicare reassignment Care Compare group NPD
• Ruben Perez, MD

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1659460764
  NPD (past)

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1942470620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11183 S ORANGE BLOSSOM TRL",
            "address_2": "SUITE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328379402",
            "telephone_number": "407-859-8686",
            "fax_number": "407-859-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11183 S ORANGE BLOSSOM TRL",
            "address_2": "SUITE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328379402",
            "telephone_number": "407-859-8686",
            "fax_number": "407-859-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY & INTERNAL MEDICINE CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "QURESHI",
        "authorized_official_first_name": "TAHIRA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-859-8686",
        "authorized_official_credential": "MD. ARNP"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0077164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Orlando, FL
• Providers in Orlando, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.