MEDICARE: INTERNAL MEDICINE ASSOCIATES PLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208M00000X	Hospitalist Physician	ME88913	FL

General Provider Information

NPI Number	:	1609820125
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTERNAL MEDICINE ASSOCIATES PLC

Provider Business Mailing Address
First Line	:	9063 POINT CYPRESS DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32836-5475
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9063 POINT CYPRESS DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32836-5475
Country	:	US
Telephone Number	:	321-214-0028
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DIVYA NAVANI
Credential	:
Telephone Number	:	321-214-0028

Provider Enumeration Date	:	05/20/2006
Last Update Date	:	03/13/2015

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