INTERNAL MEDICINE OF LAKE CITY PA (NPI# 1285822981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285822981 |
| Entity Type | Organization |
| Organization Name | INTERNAL MEDICINE OF LAKE CITY PA |
| Practice Address |
289 Sw Stonegate Ter Suite 104 Lake City FL 32024-3456 |
| Practice Telephone | 3867551703 |
| Practice Fax Number | 3867551744 |
| Mailing Telephone | 3867551703 |
| Mailing Fax Number | 3867551744 |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2013-09-30 |
| Authorized Official Name | DR. SHAMMI K BALI (PRESIDENT) |
| Authorized Official Telephone | 3867551703 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
BB6375477 | FL | Ambulatory Health Care Facilities |
| Street Address |
289 SW STONEGATE TER SUITE 104 |
| City | LAKE CITY |
| State | FL |
| Zip Code | 32024-3456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194795658 | Southern Open Mri Inc | Radiologic Technologist | 289 Sw Stonegate Ter, Suite 102, Lake City, FL 32024-3456 | 2006-01-25 |
| 1982216321 | Dm Rehab Core LLC | Clinic/Center | 289 Sw Stonegate Ter, Lake City, FL 32024-3456 | 2020-08-18 |
| 1396132213 | Lake City Cancer Care, LLC | Internal Medicine | 289 Sw Stonegate Ter, Suite 103, Lake City, FL 32024-3456 | 2015-04-17 |
| 1467607903 | Sara Daughtry Mcclain | Physical Therapy Assistant | 289 Sw Stonegate Ter, Suite 101, Lake City, FL 32024-3457 | 2008-11-25 |
| 1073557864 | Waseem Khan | Internal Medicine | 289 Sw Stonegate Ter, Suite103, Lake City, FL 32024-3457 | 2006-06-15 |
| 1790728947 | Cancer Care of North Florida Pa | Internal Medicine | 289 Sw Stonegate Ter, Suite 103, Lake City, FL 32024-3457 | 2006-06-14 |
| 1073577169 | Jeffrey Leonard Foster | Physician Assistant | 289 Sw Stonegate Ter, Suite 103, Lake City, FL 32024-3457 | 2006-04-14 |
| 1750358073 | Shelia Y Roberts | Nurse Practitioner | 289 Sw Stonegate Ter, Suite 103, Lake City, FL 32024-3457 | 2006-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083170534 | Sf Brevard, LLC | Skilled Nursing Facility | 298 Sw Prosperity Place, Lake City, FL 32024 | 2019-02-20 |
| 1689103079 | Vivian Robinson | Driver | 133 Sw Maereatha Ct, Lake City, FL 32024 | 2017-06-08 |
| 1508014630 | Stephen Lewis O'steen | Physical Therapy Assistant | 146 Sw Orthopaedic Court, Lake City, FL 32024 | 2008-09-03 |
| 1598965634 | Lake City Surgery Center, LLC | Clinic/Center | 208 Sw Prosperity Place, Lake City, FL 32024 | 2007-07-18 |
| 1932308145 | Smile Designs By Charlotte Gerry | Dentist | 857 Sw Main Blvd, Suite 105, Lake City, FL 32024 | 2007-07-17 |
| 1790900447 | Leopold Bejamin Leblique | General Practice | 264 Sw Ridgeview Pl., Lake City, FL 32024 | 2007-04-16 |
| 1073785911 | Rescare, Inc. | Intermediate Care Facility, Mentally Retarded | 1403 Spring St, Lake City, FL 32024 | 2008-04-01 |
| 1124202502 | Christina Mcghghy | Physical Therapy Assistant | 289 Sw Stonegate Terr, Suite #101, Lake City, FL 32024 | 2007-12-21 |
| 1629682133 | Paula Carol Palmer | Registered Nurse | 3857 Sw Birley Ave, Lake City, FL 32024-0003 | 2020-09-02 |
| 1831635176 | Patricia Vance | Chore Provider | 2238 Sw Salem Rd, Lake City, FL 32024-0029 | 2017-01-10 |
| Find all providers in zip 32024 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316477060 | Lake City Medical Associates 2017, LLC | Clinic/Center | 130 S Acline St, Lake City, SC 29560-2633 | 2017-06-15 |
| 1992732432 | Graham Clinic Inc. | Clinic/Center | 1278 Moore St, Lake City, SC 29560-4601 | 2006-06-28 |
| 1952896151 | Lake City Primary Care PC | Clinic/Center | 1866 S Morey Rd, Lake City, MI 49651 | 2018-06-29 |
| 1962641498 | Baya Bariatrics Urgent Care | Clinic/Center | 373 Se Country Club Rd, Lake City, FL 32025-4987 | 2009-02-06 |
| 1114149234 | Ernest De Leon, Md, Pa | Clinic/Center | 4225 Nw American Ln, Lake City, FL 32055-4881 | 2007-05-02 |
| 1164463659 | Mayo Clinic Health System-lake City | Clinic/Center | 500 W Grant St, Lake City, MN 55041-1143 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122337 | Life Line Medical Group Inc | Clinic/Center | 12595 Sw 137th Ave Ste 206, Miami, FL 33186-4221 | 2020-10-20 |
| 1558977926 | Ohi West Medical Group, LLC | Clinic/Center | 603 7th St S Ste 350, St Petersburg, FL 33701-4732 | 2020-09-21 |
| 1205441615 | Washington Hills Primary Care | Clinic/Center | 4645 Plantation Oaks Blvd, Orange Park, FL 32065-3652 | 2020-09-11 |
| 1699380329 | Premier Health System LLC | Clinic/Center | 12970 Sw 133rd Ct Ste A, Miami, FL 33186-5806 | 2020-09-10 |
| 1093328163 | Sunmed Group LLC | Clinic/Center | 2499 Glades Rd Ste 305a, Boca Raton, FL 33431-7202 | 2020-08-28 |
| 1790398246 | Emc 360, LLC | Clinic/Center | 1008 Juliette Blvd, Mount Dora, FL 32757-6500 | 2020-08-25 |
| 1720690704 | Celena Vinent Carbonell M.d., P.a. | Clinic/Center | 1001 N Macdill Ave Ste D, Tampa, FL 33607-5152 | 2020-08-20 |
| 1548871866 | 1st Call Primary Care, LLC | Clinic/Center | 955 S Woodland Blvd Ste A1, Deland, FL 32720-7321 | 2020-08-11 |
| 1912517152 | Curos Inc | Clinic/Center | 1425 Sw 8th Ct, Ft Lauderdale, FL 33312-7291 | 2020-08-03 |
| 1104436492 | Caretinuum Health | Clinic/Center | 3208 W Lake Mary Blvd Ste 1710, Lake Mary, FL 32746-3467 | 2020-08-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on INTERNAL MEDICINE OF LAKE CITY PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.