OrganizationActive
Icmd PA
NPI 1962091520 · Internal Medicine Physician · Summerfield, FL
Provider details
- NPI number
- 1962091520
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Fariborz Delbakhsh, Owner, President(352) 455-2026
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10770 Se 173rd St
Summerfield, FL 34491-6851
Phone: (352) 455-2026
Fax: (352) 748-2700
Street-level locationGet directions
Mailing address
10770 Se 173rd St
Summerfield, FL 34491-6851
Additional practice locations (2)
- 33006 Professional Dr Ste 102Leesburg, FL 34788-7510Phone: (352) 435-7321Fax: (352) 748-2700
- 4767 County Road 466aWildwood, FL 34785-3616Phone: (352) 435-7321Fax: (352) 748-2700
Registry dates
- Enumerated
- 2021-01-18
- Last updated
- 2021-01-18
- Certified
- 2021-01-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.