# WEST FLORIDA INTERNAL MEDICINE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WEST FLORIDA INTERNAL MEDICINE LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1851060685
- **Legal business name:** WEST FLORIDA INTERNAL MEDICINE LLC
- **Authorized official:** WILLIAM TEDRICK JOHNSON (VICE PRESIDENT)
- **Authorized official phone:** (615) 372-3375

## Contact information

- **Practice address:** 4252 WOODBINE RD, PACE, FL 32571-8703
- **Practice address phone:** (850) 494-4600
- **Mailing address:** 2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4692
- **Mailing address phone:** (615) 372-5426

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/07/2021
- **Last updated:** 09/07/2021