FOUR CORNERS INTERNAL MEDICINE, LLC
NPI 1346295466
Clinic/Center in Davenport, FL

Q: What is Four Corners Internal Medicine, LLC's NPI number?

The NPI number for Four Corners Internal Medicine, LLC is 1346295466. It was assigned to this organization in the NPPES registry on May 24, 2006.

Q: What is Four Corners Internal Medicine, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since May 24, 2006

106 POLO PARK EAST BLVD, DAVENPORT, FL 33897(863) 424-8900(863) 424-8823 Get Directions Write a Review

NPPES record last updated: October 20, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Four Corners Internal Medicine, Llc NPPES

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

FOUR CORNERS INTERNAL MEDICINE, LLC (NPI 1346295466) is a healthcare organization registered as a clinic/center in Davenport, Florida and active in the NPI registry since May 2006. The organization lists Srinath Reddy Kosanam, Owner, as its authorized official.

NPPES Registry Identity

NPI1346295466

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameFOUR CORNERS INTERNAL MEDICINE, LLC

Location Address106 POLO PARK EAST BLVDDavenport, FL 33897-9407

Mailing Address10603 Emerald Chase DrOrlando, FL 32836-5855 · (407) 217-5353 · Fax (407) 217-5353

Phone(863) 424-8900

Fax(863) 424-8823

Organization SubpartNo

Authorized OfficialSrinath Reddy KosanamOwner · (863) 424-8900

Enumeration DateMay 24, 2006

Last NPPES UpdateOctober 20, 2010

✔ NPI 1346295466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

License✔ Licensed in FL · ME78339

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

106 POLO PARK EAST BLVD, Davenport, FL 33897

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Other Identifiers 1

Medicare PINK9842

Other Providers at the Same Location NPPES 2

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

SRINATH REDDY KOSANAM M.D

Internal Medicine

106 POLO PARK EAST BLVD
DAVENPORT, FL 33897

Polk County (863) 424-8900

FOUR CORNERS MEDICAL CENTER, LLC

Clinic/Center

106 POLO PARK EAST BLVD
DAVENPORT, FL 33897

Polk County (863) 424-8900

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 Four Corners Internal Medicine, LLC's NPI number?

The NPI number for Four Corners Internal Medicine, LLC is 1346295466. It was assigned to this organization in the NPPES registry on May 24, 2006.

Where is Four Corners Internal Medicine, LLC located?

Four Corners Internal Medicine, LLC is located at 106 Polo Park East Blvd, Davenport, FL 33897. The listed phone number is (863) 424-8900.

What is Four Corners Internal Medicine, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Four Corners Internal Medicine, LLC was last updated on October 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.