Consultants in Infectious Diseases LLC

Organization Active NPI Infectious Disease Physician · Kenneth City, FL

NPI 1992906655 · NPPES record last updated Feb 21, 2021

Key facts

NPI
1992906655
Entity type
Organization (NPI type 2)
Primary specialty
Infectious Disease Physician 207RI0200X
Legal business name
CONSULTANTS IN INFECTIOUS DISEASES LLC
Practice address
5670 54TH Avenue North
Suite a-1
Kenneth City, FL 33709-2067
Phone
(727) 548-0260
Fax
(727) 548-0270
NPI assigned
May 30, 2007
Organization subpart
No

Authorized official

Name
Christian Titus
Title
Assistant Practice Manager
Phone
(727) 491-5117

Practitioners 18

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20050902000064 FL Part B Supplier - Clinic/Group Practice 6800828526 Receives reassigned benefits from 10 practitioners
Practice locations: Kenneth City, FL; Safety Harbor, FL

National Provider Directory

Locations

5670 54th Ave N
Ste A-1
Kenneth City, FL 33709
Phone (727) 319-0547

5670 54th Ave N
Kenneth City, FL 33709
Phone (727) 319-0547

5670 54th Ave N
Ste 81
Kenneth City, FL 33709

1840 Mease Dr
Ste 401B
Safety Harbor, FL 34695
Phone (727) 328-4633

1840 Mease Dr
Safety Harbor, FL 34695
Phone (727) 376-7734

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFCCCA
  • FHIR API: https://api.platform.athenahealth.com/18668/brand/1/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207RI0200X Yes

Addresses

Primary practice location

5670 54TH Avenue North
Suite a-1
Kenneth City, FL 33709-2067

Mailing address

5670 54TH Avenue North
Suite a-1
Kenneth City, FL 33709-2067
Phone (727) 548-0260

Other identifiers

IdentifierTypeStateIssuer
014046500MedicaidFL
34308OtherFLBCBS

Other names

  • Consultants In Infectious Diseases Inc Former legal business name

Other providers in Kenneth City, FL

All providers in Kenneth City, FL · Infectious Disease Physician in Florida

Sources for this page

Verify at the official NPI Registry.