Provider Demographics
NPI:1619127263
Name:CENTRAL FLORIDA INTERNISTS, INC.
Entity Type:Organization
Organization Name:CENTRAL FLORIDA INTERNISTS, INC.
Other - Org Name:EMERGENCY ONE URGENT CARE, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF BUSINESS DEVELOPMENT
Authorized Official - Prefix:MS
Authorized Official - First Name:TABITHA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUBIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-348-5175
Mailing Address - Street 1:PO BOX 700577
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34770-0577
Mailing Address - Country:US
Mailing Address - Phone:407-957-9911
Mailing Address - Fax:
Practice Address - Street 1:3505 PROGRESS LANE
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34769-6519
Practice Address - Country:US
Practice Address - Phone:407-957-9911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CENTRAL FLORIDA INTERNISTS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-09-19
Last Update Date:2008-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care