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

Southern Internal Medicine PLLC

Organization Internal Medicine Physician · NPI 1912188624

Southern Internal Medicine PLLC is an Internal Medicine Physician in Lake City, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

404 NW Hall Of Fame Dr
Lake City, FL 32055-4833
Phone: (386) 754-2433
Fax: (386) 754-2586
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence OS4706 (FL)

Record details

NPI number1912188624
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Guy Strauss — Manager · (904) 521-5388
NPI enumeratedNovember 21, 2007
Last updated in NPPESNovember 21, 2007
Mailing address7896 Briarwood Cir, Glen Saint Mary, FL 32040-4706

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