Organization Active NPI

Javed Hafeez, M.D., P.a.

  • Internal Medicine Physician
  • Sun City Center, FL
National Provider Identifier
1982652442
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0045647 Issued in FL
Legal business name
JAVED HAFEEZ, M.D., P.A.
Practice address
4020 Sun City Center Blvd
Suite #1
Sun City Center, FL 33573-5285
Phone
(813) 634-5502
Fax
(813) 633-2702
NPI assigned
May 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Authorized official

Name
Dr. Javed Hafeez, M.D.NPI 1588612337
Title
President
Phone
(813) 634-5502

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME0045647 FL Primary

Addresses

Primary practice location

4020 Sun City Center Blvd
Suite #1
Sun City Center, FL 33573-5285

Mailing address

4020 Sun City Center Blvd
Suite #1
Sun City Center, FL 33573-5285
Phone (813) 634-5502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060710000246 FL Part B Supplier - Clinic/Group Practice 9335152545 Receives reassigned benefits from 2 practitioners
Practice locations: Sun City Center, FL

National Provider Directory

National Provider Directory

Locations

105 Trinity Lakes Dr
Sun City Ctr, FL 33573
Phone (813) 634-3324

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1982652442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 SUN CITY CENTER BLVD",
            "address_2": "SUITE #1",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335735285",
            "telephone_number": "813-634-5502",
            "fax_number": "813-633-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 SUN CITY CENTER BLVD",
            "address_2": "SUITE #1",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335735285",
            "telephone_number": "813-634-5502",
            "fax_number": "813-633-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAVED HAFEEZ, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "HAFEEZ",
        "authorized_official_first_name": "JAVED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-634-5502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0045647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City Center, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.