# FLORIDA MEDICAL SPECIALISTS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ridge Medical Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285399857
- **Authorized official:** INITA BEDI (SENIOR VP OF CLINICAL OPERATIONS)
- **Authorized official phone:** (941) 202-5338

## Contact information

- **Practice address:** 405 S 11TH ST, LAKE WALES, FL 33853-4202
- **Practice address phone:** (863) 679-8000
- **Practice address fax:** (863) 679-2694
- **Mailing address:** PO BOX 25487, SARASOTA, FL 34277-2487
- **Mailing address phone:** (941) 259-0926
- **Mailing address fax:** (855) 253-4836

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |

## Other

- **Enumeration date:** 11/08/2021
- **Last updated:** 11/08/2021