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

Heathrow Internal Medicine LLC

Organization Family Medicine Physician · NPI 1033387865

Heathrow Internal Medicine LLC is a Family Medicine Physician in Lake Mary, Florida. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
2
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

4106 W Lake Mary Blvd Ste 100
Lake Mary, FL 32746-3315
Phone: (407) 333-2273
Fax: (407) 333-3939
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1033387865
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tedrick Johnson — Group Vp Operations · (407) 333-2273
NPI enumeratedFebruary 14, 2008
Last updated in NPPESMay 28, 2014
Mailing address4106 W Lake Mary Blvd, Suite 100, Lake Mary, FL 32746-3315

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