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

Haines City Internal Medicine PA

Organization Internal Medicine Physician · NPI 1386799542

Haines City Internal Medicine PA is an Internal Medicine Physician in Haines City, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
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

608 Ingraham Ave
Haines City, FL 33844-4330
Phone: (863) 422-9562
Fax: (863) 421-3246
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME0050219 (FL)

Record details

NPI number1386799542
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jay Stine — Part Owner · (863) 422-9562
NPI enumeratedJanuary 25, 2007
Last updated in NPPESApril 24, 2020
Certification dateApril 24, 2020
Mailing address608 Ingraham Avenue, Haines City, FL 33844-5619

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