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

Internal Medicine LLC

Organization Interventional Cardiology Physician · NPI 1164161840

Internal Medicine LLC is an Interventional Cardiology Physician in Longwood, Florida. Registered with an NPI since 2022.

In the registry since
2022
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

450 W State Road 434 Ste 1010
Longwood, FL 32750-5187
Phone: (407) 786-0004
Fax: (407) 636-7689
Show map & directions

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

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X

Record details

NPI number1164161840
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andy Jordan — Credentialing Specialist · (321) 206-8100
Other names Longwood Medical Group
NPI enumeratedJune 1, 2022
Last updated in NPPESAugust 16, 2024
Certification dateAugust 16, 2024
Mailing address450 W State Road 434 Ste 1010, Longwood, FL 32750-5187

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