Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Florida Internal Medicine PA

Organization Internal Medicine Physician · NPI 1831136274

Florida Internal Medicine PA is an Internal Medicine Physician in Lake Mary, Florida. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4106 W Lake Mary Blvd Ste 301
Lake Mary, FL 32746-3315
Phone: (407) 333-2503
Fax: (407) 333-0962
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1831136274
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Glen Davis — President · (407) 333-2503
NPI enumeratedJune 2, 2006
Last updated in NPPESAugust 23, 2007
Mailing address4106 W Lake Mary Blvd, Suite 301, Lake Mary, FL 32746-3315

Other providers in Lake Mary