FOUR CORNERS INTERNAL MEDICINE, LLC – NPI #1346295466
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Health Care Provider Taxonomy Code for Clinic/Center

FOUR CORNERS INTERNAL MEDICINE, LLC is an AHC clinic located in DAVENPORT, FL. NPPES has assigned the NPI number 1346295466 to FOUR CORNERS INTERNAL MEDICINE, LLC on May 24, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was previously updated about 16 years ago on Oct 20, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FOUR CORNERS INTERNAL MEDICINE, LLC below.

NPI Profile for
FOUR CORNERS INTERNAL MEDICINE, LLC

NPI Number
1346295466
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FOUR CORNERS INTERNAL MEDICINE, LLC
Primary location
106 POLO PARK EAST BLVD
DAVENPORT, FL 33897-9407
Phone: (863) 424-8900 Fax: (863) 424-8823
Mailing address
10603 EMERALD CHASE DR
ORLANDO, FL 32836-5855
Phone: (407) 217-5353 Fax: (407) 217-5353
Organization Subpart
No
Authorized Official
SRINATH KOSANAM
OWNER
Phone: (863) 424-8900
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)		 FL ME78339

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.