MERIDIAN HEALTH SYSTEMS INC NPI 1558664938

NPI Information

NPI: 1558664938
Provider Name: MERIDIAN HEALTH SYSTEMS, INC

Doing Business As: NONE

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 10D2211955

Address:
265 CITRUS TOWER BLVD STE 206
CLERMONT, FL
ZIP 34711
Phone: (323) 434-1070
Get Directions

MERIDIAN HEALTH SYSTEMS, INC is a multi-specialty clinic center in Clermont, FL. MERIDIAN HEALTH SYSTEMS, INC NPI is 1558664938. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As None.

The provider's business location address is:

265 CITRUS TOWER BLVD STE 206
CLERMONT, FL
ZIP 34711-908
Phone: (323) 434-1070
Fax: (310) 693-8082

The provider's authorized official is Anthony C Dike .
The authorized official title is President and has the following contact phone number (323) 434-4626.

The CLIA number assigned to this NPI record is 10D2211955 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/7/2010 and was last updated on 1/6/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine				No
2	261QM1300X	Clinic/Center	Multi-Specialty	ME110756	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ME110756	OTHER	FLORIDA	FLORIDA HEALTH DEPARTMENT-DIVISION OF MEDICAL QUALITY ASSURANCE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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