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

Four Corners Internal Medicine, LLC

Organization Clinic/Center · NPI 1346295466

Four Corners Internal Medicine, LLC is a Clinic/Center in Davenport, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

106 Polo Park East Blvd
Davenport, FL 33897-9407
Phone: (863) 424-8900
Fax: (863) 424-8823
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence ME78339 (FL)

Record details

NPI number1346295466
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Srinath Kosanam — Owner · (863) 424-8900
NPI enumeratedMay 24, 2006
Last updated in NPPESOctober 20, 2010
Mailing address10603 Emerald Chase Dr, Orlando, FL 32836-5855

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