ADVANCED INTERNAL MEDICINE CARE, PA – Internal Medicine Physician, NPI 1811130339
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ADVANCED INTERNAL MEDICINE CARE, PA
5455 S FLORIDA AVE
LAKELAND, FL 338132523
Phone: (863) 644-3585
Fax: (863) 644-3171
Type: Location
203 Kingsway Rd
Brandon, FL 335104679
Phone: (813) 819-7780
Fax: (863) 644-3171
Type: Location
5245 US Highway 98 N
Lakeland, FL 338090516
Phone: (863) 606-1616
Fax: (863) 644-3171
Type: Location
134 Ariana Ave
Auburndale, FL 338233355
Phone: (863) 662-4677
Fax: (863) 644-3171
Type: Location
1045 E County Road 540A
Lakeland, FL 338133735
Phone: (863) 940-9990
Fax: (863) 644-3171
Type: Location
South Florida Avenue, Lakeland, Polk County, Florida, 33803:33813, United States
LAKELAND, FL 338132523
Phone: (863) 644-3585
Fax: (863) 644-3171
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2009-07-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20090723000176 | O | Clinic/Group Practice | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33813)
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