Meridian Primary Care Clinic | |
439 Sw Michigan St Lake City FL 32025 | |
(352) 374-5600 | |
Not Available |
Full Name | Meridian Primary Care Clinic |
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Speciality | Clinic/center - Primary Care |
Location | 439 Sw Michigan St, Lake City, Florida |
Authorized Official Name and Position | Lauren Cohn (SVP QI / CPO) |
Authorized Official Contact | 3523745600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Meridian Primary Care Clinic 4300 Sw 13th St Gainesville FL 32608-4006 Ph: (352) 374-5600 | Meridian Primary Care Clinic 439 Sw Michigan St Lake City FL 32025 Ph: (352) 374-5600 |
NPI Number | 1689165052 |
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Provider Enumeration Date | 05/22/2018 |
Last Update Date | 06/06/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689165052 | NPI | - | NPPES |
016511900 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | HCC (Florida) | Secondary |
261QP2300X | Clinic/center - Primary Care | HCC (Florida) | Primary |
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