Organization
FLORIDA MED GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUHAMMAD S HAYAT MD (MANAGER)
(727) 466-3000
Entity
Organization
Contact information
Practice address
4820 5TH AVENUE NORTH, ST PETERSBURGH, FL 33713-3371
(727) 466-3000
(727) 844-5425
Mailing address
PO BOX 7707, CLEARWATER, FL 33758-7707
(727) 844-5404
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RN0300X
Nephrology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
Other
Enumeration date
12/21/2020
Last updated
01/10/2022
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