PEDIATRIC AND INTERNAL MEDICINE SPECIALISTS INC
NPI 1396805115
Family Medicine in Lecanto, FL

Q: What is Pediatric And Internal Medicine Specialists Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since December 11, 2006CLIA 10D2121835 · Waiver

1990 N PROSPECT AVE, LECANTO, FL 34461(352) 527-6888(352) 527-8818 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 13, 2025, Dec 15, 2022, Mar 17, 2018 and 3 more (6 updates tracked since 2017).

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About Pediatric And Internal Medicine Specialists Inc NPPES

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

PEDIATRIC AND INTERNAL MEDICINE SPECIALISTS INC (NPI 1396805115), doing business as Pedim Healthcare, is a healthcare organization registered as a family medicine in Lecanto, Florida and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through November 14, 2026, maintains 2 additional practice locations, and lists Dacelin St. Martin, Medical Director/owner, as its authorized official.

NPPES Registry Identity

NPI1396805115

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NamePEDIATRIC AND INTERNAL MEDICINE SPECIALISTS INC

Location Address1990 N PROSPECT AVELecanto, FL 34461-9792

Mailing AddressPo Box 2066Lecanto, FL 34460-2066 · (352) 527-6888 · Fax (352) 527-8818

Phone(352) 527-6888

Fax(352) 527-8818

Organization SubpartNo

Authorized OfficialDacelin St. MartinMedical Director/owner · (352) 527-6888

Enumeration DateDecember 11, 2006

Last NPPES UpdateFebruary 13, 20256 updates tracked since enumeration

NPPES CertifiedFebruary 13, 2025

✔ NPI 1396805115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedTechnician, Pathology · Medical LaboratoryTaxonomy 246RM2200X

Also ListedClinic/CenterTaxonomy 261Q00000X · License 10D1050573 (FL)

Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X

Also ListedClinic/Center · Sleep Disorder DiagnosticTaxonomy 261QS1200X

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

1990 N PROSPECT AVE, Lecanto, FL 34461

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Other Names 1

Doing Business AsPedim Healthcare

Secondary Practice Locations 2

Location 18468 W Periwinkle LnHomosassa, FL 34446-1147 · Phone (352) 628-7270

Location 21980 N Prospect AveLecanto, FL 34461-9792 · Phone (352) 527-6673

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 Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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 10D2121835

Pediatric And Internal Medicine Specialists LLC · Homosassa, FL

Active · expires Nov 14, 2026

CLIA Number10D2121835

Laboratory TypePhysician Office

Certificate Effective DateNovember 15, 2024

Certificate Expiration DateNovember 14, 2026

Laboratory DirectorDacelin St Martin

Laboratory Phone(352) 628-7270

Laboratory LocationPediatric And Internal Medicine Specialists LLC8468 W Periwinkle Ln, Homosassa, FL 34446

CLIA data matches this NPI record on: Address Name 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.

MARYELLEN E GREENE PA-C

Physician Assistant (Medical)