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PALM HARBOR INTERNAL MEDICINE AND PEDIATRICS, PA
NPI 1073570511
Internal Medicine in Palm Harbor, FL

Active since April 27, 2006CLIA 10D0719115 · Waiver
3890 TAMPA RD, SUITE 101, PALM HARBOR, FL 34684(727) 789-5811(727) 786-8417 Get Directions Write a Review

NPPES record last updated: October 2, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Palm Harbor Internal Medicine And Pediatrics, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PALM HARBOR INTERNAL MEDICINE AND PEDIATRICS, PA (NPI 1073570511) is a healthcare organization registered as an internal medicine in Palm Harbor, Florida and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through November 11, 2027 and lists Gary M Goldstein, President Of Corporation, as its authorized official.

NPPES Registry Identity

NPI1073570511
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePALM HARBOR INTERNAL MEDICINE AND PEDIATRICS, PA
Location Address3890 TAMPA RD, SUITE 101Palm Harbor, FL 34684-3676
Mailing Address3890 Tampa Rd, Suite 101Palm Harbor, FL 34684-3676 · (727) 789-5811 · Fax (727) 786-8417
Phone(727) 789-5811
Fax(727) 786-8417
Organization SubpartNo
Authorized OfficialGary M GoldsteinPresident Of Corporation · (727) 789-5811
Enumeration DateApril 27, 2006
Last NPPES UpdateOctober 2, 2013
✔ NPI 1073570511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X
3890 TAMPA RD, Palm Harbor, FL 34684
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Other Identifiers 1

Medicare ID-Type UnspecifiedK3566FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0719115

Palm Harbor Internal Medicine & Pediatrics PA · Palm Harbor, FL
Active · expires Nov 11, 2027
CLIA Number10D0719115
Laboratory TypePhysician Office
Certificate Effective DateNovember 12, 2025
Certificate Expiration DateNovember 11, 2027
Laboratory DirectorGary M. Goldstein
Laboratory Phone(727) 789-5811
Laboratory LocationPalm Harbor Internal Medicine & Pediatrics PA3890 Tampa Road Suite 307, Palm Harbor, FL 34684
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARK D TORKE MD
Orthopaedic Surgery
3890 TAMPA RD, SUITE 202
PALM HARBOR, FL 34684
Pinellas County (727) 787-5577
JAY MERMELSTEIN MD PA
Family Medicine
3890 TAMPA RD, SUITE 303
PALM HARBOR, FL 34684
Pinellas County (727) 786-1747
BRADLEY JAMES COHEN ARNP
Nurse Practitioner
3890 TAMPA RD, STE 202
PALM HARBOR, FL 34684
Pinellas County (727) 787-5577
DR SANFORD PLEVIN MD PL
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3890 TAMPA RD, STE 301
PALM HARBOR, FL 34684
Pinellas County (727) 784-2424
DR. CRISTOBAL ROSARIO M.D.
Internal Medicine
3890 TAMPA RD, SUITE 307
PALM HARBOR, FL 34684
Pinellas County (727) 786-6155
FLORIDA MUSCULOSKELETAL SURGICAL GROUP LLC
Durable Medical Equipment & Medical Supplies
3890 TAMPA RD, SUITE 202
PALM HARBOR, FL 34684
Pinellas County (727) 787-5577
DR. GARY M GOLDSTEIN M.D.
Pediatrics
3890 TAMPA RD, SUITE 102
PALM HARBOR, FL 34684
Pinellas County (727) 789-5811
MRS. AMBER MARIE KOERNER FNP-C
Nurse Practitioner (Family)
3890 TAMPA RD
PALM HARBOR, FL 34684
Pinellas County (727) 532-0002

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Palm Harbor Internal Medicine And Pediatrics, PA's NPI number?

The NPI number for Palm Harbor Internal Medicine And Pediatrics, PA is 1073570511. It was assigned to this organization in the NPPES registry on April 27, 2006.

Where is Palm Harbor Internal Medicine And Pediatrics, PA located?

Palm Harbor Internal Medicine And Pediatrics, PA is located at 3890 Tampa Rd Suite 101, Palm Harbor, FL 34684. The listed phone number is (727) 789-5811.

What is Palm Harbor Internal Medicine And Pediatrics, PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Palm Harbor Internal Medicine And Pediatrics, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0719115) is associated with this NPI, valid through November 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Palm Harbor Internal Medicine And Pediatrics, PA accept?

Health plans from AvMed list Palm Harbor Internal Medicine And Pediatrics, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Palm Harbor Internal Medicine And Pediatrics, PA was last updated on October 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.