# FLORIDA MED GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659968998
- **Authorized official:** MUHAMMAD S HAYAT MD (MANAGER)
- **Authorized official phone:** (727) 466-3000

## Contact information

- **Practice address:** 4820 5TH AVENUE NORTH, ST PETERSBURGH, FL 33713-3371
- **Practice address phone:** (727) 466-3000
- **Practice address fax:** (727) 844-5425
- **Mailing address:** PO BOX 7707, CLEARWATER, FL 33758-7707
- **Mailing address phone:** (727) 844-5404

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 207RN0300X | Nephrology Physician | — | NULL | — |
| 207RN0300X | Nephrology Physician | — | — | — |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | — |
| 207RP1001X | Pulmonary Disease Physician | — | — | — |

## Other

- **Enumeration date:** 12/21/2020
- **Last updated:** 01/10/2022