MEDICARE: FLORIDA INJURY PHYSICIANS, INC.

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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1053994418
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLORIDA INJURY PHYSICIANS, INC.

Provider Business Mailing Address
First Line	:	437 N CLYDE MORRIS BLVD
Second Line	:
City	:	DAYTONA BEACH
State	:	FL
Zip	:	32114-2730
Country	:	US
Telephone Number	:	813-785-5958
Fax Number	:

Provider Business Practice Location Address
First Line	:	5411 BEAUMONT CENTER BLVD FL 33634785
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33634-5260
Country	:	US
Telephone Number	:	813-785-5958
Fax Number	:

Authorized Official
Title or Position	:	OPERATIONS MANAGER
Name	:	MARIA GIL
Credential	:
Telephone Number	:	813-785-5958

Provider Enumeration Date	:	05/04/2021
Last Update Date	:	05/04/2021

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