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

Icmd PA

Organization Internal Medicine Physician · NPI 1962091520

Icmd PA is an Internal Medicine Physician in Summerfield, Florida. Works from 3 locations. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10770 SE 173rd St
Summerfield, FL 34491-6851
Phone: (352) 455-2026
Fax: (352) 748-2700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 33006 Professional Dr Ste 102, Leesburg, FL 34788-7510 — (352) 435-7321
  • 4767 County Road 466a, Wildwood, FL 34785-3616 — (352) 435-7321

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1962091520
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fariborz Delbakhsh — Owner, President · (352) 455-2026
NPI enumeratedJanuary 18, 2021
Last updated in NPPESJanuary 18, 2021
Certification dateJanuary 15, 2021
Mailing address10770 Se 173rd St, Summerfield, FL 34491-6851

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