MEDICARE: FLORIDA MEDICAL SPECIALISTS, LLC

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	207R00000X	Internal Medicine Physician
2	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336775212
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLORIDA MEDICAL SPECIALISTS, LLC

Provider Business Mailing Address
First Line	:	PO BOX 25487
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34277-2487
Country	:	US
Telephone Number	:	941-202-5342
Fax Number	:	855-253-4836

Provider Business Practice Location Address
First Line	:	7273 VANDERBILT BEACH RD STE 28
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34119-1479
Country	:	US
Telephone Number	:	239-306-5345
Fax Number	:	239-241-8982

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	INITA BEDI
Credential	:
Telephone Number	:	941-202-5338

Provider Enumeration Date	:	03/23/2020
Last Update Date	:	05/04/2022

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Directions to “FLORIDA MEDICAL SPECIALISTS, LLC ” Practice Location

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