GAINESVILLE MEDICAL OBESITY SPECIALTY CLINIC LLC (NPI# 1609316975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609316975 |
| Entity Type | Organization |
| Organization Name | GAINESVILLE MEDICAL OBESITY SPECIALTY CLINIC LLC |
| Practice Address |
6830 Nw 11th Pl Suite A Gainesville FL 32605-4254 |
| Practice Telephone | 3526729000 |
| Practice Fax Number | 3525058552 |
| Mailing Telephone | (352) 672-9000 |
| Mailing Fax Number | 3525058552 |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2017-06-05 |
| Authorized Official Name | DR. CINDI LYNN LARIMER (OWNER/MANAGER) |
| Authorized Official Telephone | 3526729000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
ME0054910 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 062219200 | 05 |
| Street Address |
6830 NW 11TH PL SUITE A |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32605-4254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720079775 | Paul E. Prusakowski | Orthotist | 6830 Nw 11th Pl, Ste A, Gainesville, FL 32605-4254 | 2005-10-31 |
| 1578986857 | Sara Webber | Physician Assistant | 6830 Nw 11th Pl, Suite A, Gainesville, FL 32605-4254 | 2014-01-22 |
| 1932378056 | Shannon River Enterprises,inc. | Eyewear Supplier (Equipment, not the service) | 6830 Nw 11th Pl, Suite C, Gainesville, FL 32605-4254 | 2008-02-22 |
| 1851574107 | William Hogan | Technician/Technologist | 6830 Nw 11th Pl, Suite C, Gainesville, FL 32605-4254 | 2007-12-10 |
| 1548280092 | Yili Zhou LLC | Pain Medicine | 6830 Nw 11th Pl, Suite A, Gainesville, FL 32605-4254 | 2006-07-20 |
| 1992785893 | Cynthia Lynn Larimer | Family Medicine | 6830 Nw 11th Pl, Suite A, Gainesville, FL 32605-4254 | 2006-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780205435 | Remy Fadel | Student in an Organized Health Care Education/Training Program | 1147 Nw 64th Terr, Gainsville, FL 32605 | 2020-05-05 |
| 1518528652 | Family Restoration Station Counseling Center, LLC | Marriage & Family Therapist | 912 Nw 56th Terr, Suite A, Gainesville, FL 32605 | 2019-06-27 |
| 1568925105 | Ryeisha Hough | Behavior Technician | 1051 Sw 56 Terrace, Gainesville, FL 32605 | 2019-04-10 |
| 1003308040 | Titan Mri LLC | Clinic/Center | 919 Nw 57th St Ste 20, Gainesville, FL 32605 | 2018-06-05 |
| 1922598432 | Angela Maria Fernandez Manovel | Student in an Organized Health Care Education/Training Program | 1147 Nw 64th Terrace, Gainesville, FL 32605 | 2018-05-10 |
| 1396235800 | Aya Marachi | Student in an Organized Health Care Education/Training Program | 6500 W. Newberry Rd., Gainesville, FL 32605 | 2018-05-10 |
| 1053813543 | Jaime L Jasser | Counselor | 2240 Nw 40th Terrace Ste A, Gainesville, FL 32605 | 2018-03-01 |
| 1164932901 | Anesthesia Physician Solutions of North Florida, LLC | Anesthesiology | 6500 W Newberry Road, Gainesville, FL 32605 | 2017-10-06 |
| 1336667930 | Zina Theresse Durr | Adult Companion | 3124 Nw 29th Place, Gainesville, FL 32605 | 2017-09-03 |
| 1982126306 | Crystal Thompson Baumann | Nurse Practitioner | 6440 W Newberry Rd Ste 409, Gainesville, FL 32605 | 2017-07-07 |
| Find all providers in zip 32605 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841662087 | Gainsville Allergy, Ent and Plastic Surgery | Clinic/Center | 1902 Hospital Blvd Ste C, Gainesville, TX 76240-2008 | 2015-10-27 |
| 1326256470 | John W Tyrone Md Pllc | Clinic/Center | 108 Nw 76th Dr Ste A, Ste F, Gainesville, FL 32607-6652 | 2007-05-21 |
| 1255951182 | Georgia Ketamine Renew | Clinic/Center | 1370 Thompson Bridge Rd Ste 101, Gainesville, GA 30501-1780 | 2020-04-21 |
| 1437698917 | Lisa A Wirth, Md LLC | Clinic/Center | 500 Spring St Se, Suite 201, Gainesville, GA 30501-3773 | 2017-02-17 |
| 1780074831 | David C. Blumer, Md | Clinic/Center | 720 Sw 2nd Ave, Suite 204, Gainesville, FL 32601-6271 | 2015-01-28 |
| 1245580109 | North Florida Plastic Surgery Pllc | Clinic/Center | 108 Nw 76th Dr, Ste A, Gainesville, FL 32607-6652 | 2012-09-18 |
| 1194950949 | Optima Neurological Services | Clinic/Center | 5318 Sw 91st Ter, Suite B, Gainesville, FL 32608-8125 | 2009-05-22 |
| 1982842605 | Allergy Asthma and Immunology Consultants Inc | Clinic/Center | 1173 Nw 64th Ter, Gainesville, FL 32605-4218 | 2009-02-03 |
| 1194991695 | Northeast Georgia Gynecology | Clinic/Center | 440 Washington St Se, Gainesville, GA 30501-3619 | 2008-05-05 |
| 1699961649 | Gainesville Gynecology, LLC | Clinic/Center | 1206a Sherwood Park Dr Ne, Gainesville, GA 30501-3445 | 2007-09-23 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32605 |
Please comment or provide details below to improve the information on GAINESVILLE MEDICAL OBESITY SPECIALTY CLINIC LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.