MERIDIAN PRIMARY CARE CLINIC (NPI# 1740653526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740653526 |
| Entity Type | Organization |
| Organization Name | MERIDIAN PRIMARY CARE CLINIC |
| Practice Address |
4300 Sw 13th St Gainesville FL 32608 |
| Mailing Address |
4300 Sw 13th St Gainesville FL 32608-4006 |
| Practice Telephone | 3523745600 |
| Mailing Telephone | 3523745600 |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2018-05-21 |
| Authorized Official Name | MRS. MARAGARITA LABARTA (CEO) |
| Authorized Official Telephone | 3523745600 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | HCC10982 | FL | Allopathic & Osteopathic Physicians |
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
FL | Ambulatory Health Care Facilities | |
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
HCC10982 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 016511900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689165052 | Meridian Primary Care Clinic | Family Medicine | 439 Sw Michigan St, Lake City, FL 32025 | 2018-05-22 |
| Street Address |
4300 SW 13TH ST |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689660441 | Jody Lane Brown | Psychiatry & Neurology | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2005-09-27 |
| 1871194407 | Pauline Metcalf | Registered Nurse | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2020-11-02 |
| 1972104503 | Lakecia D Bailey | Registered Nurse | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2020-11-02 |
| 1417558040 | Tiffany A Gommel | Counselor | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2020-11-02 |
| 1982203469 | Ciearra Washanda Smith | Registered Nurse | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2020-10-26 |
| 1619576196 | Michelin R Shatteen | Nurse's Aide | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2020-10-26 |
| 1720687122 | Janee A Gilliam | Licensed Practical Nurse | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2020-10-19 |
| 1104424217 | Lanette Jackson | Registered Nurse | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2020-10-12 |
| 1326646522 | Shoshanah A Bush | Counselor | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2020-10-12 |
| 1972100816 | Shanda N Whittle | Registered Nurse | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2020-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609426758 | Earlene Mae Anderson | Technician | 7770 Sw 47th Lane, Gainesville, FL 32608 | 2019-09-19 |
| 1588214720 | Jimmie Lee Crawford | Technician | 7427 Sw 63rd Terrace, Gainesville, FL 32608 | 2019-09-19 |
| 1306495346 | Lori Turbow | Technician | 2600 Sw Willingston Rd, Apt. 801, Gainesville, FL 32608 | 2019-09-11 |
| 1285281527 | Advance Best Care Medical Services LLC | In Home Supportive Care | 5745 Southwest 76th Street, Suite 250, Gainesville, FL 32608 | 2019-08-21 |
| 1669948097 | Eric Scott Traub | Genetic Counselor, MS | 1699 Sw 16th Avenue, Building A, Cms B2334, Gainesville, FL 32608 | 2018-10-24 |
| 1457834053 | Riverswarmingtouch LLC | Adult Companion | 2220 Sw 34th Street, Apt 125, Gainesville, FL 32608 | 2018-09-10 |
| 1811481252 | Anthony Farmer | Dentist | 3100 Sw 35th Pl Apt 18a, Gainesville, FL 32608 | 2018-06-19 |
| 1184112823 | Zoraida Vazquez | Early Intervention Provider Agency | 7117 Sw Archer Rd Lot 2121, Gainesville, FL 32608 | 2018-04-27 |
| 1942739214 | Brittany R Brown | Homemaker | 2908 Sw 38th Place, Gainesville, FL 32608 | 2017-06-08 |
| 1639605801 | Touch of Care,llc | Home Health | 6040 Sw 63rd Blvd, Gainesville, FL 32608 | 2017-05-10 |
| Find all providers in zip 32608 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649811928 | Careatc | Clinic/Center | 1314 W Ridge Rd, Gainesville, GA 30501-6932 | 2019-10-08 |
| 1982143079 | Celebrate Primary Care | Clinic/Center | 4400 Nw 23rd Ave Ste B, Gainesville, FL 32606-6562 | 2017-02-22 |
| 1588054415 | Dr. Stephen Ellis Landay | Clinic/Center | 7109 Nw 11th Pl Ste E, Gainesville, FL 32605-3141 | 2015-01-30 |
| 1053747188 | Pediatrics & Family Medicine of Buena Vista, LLC | Clinic/Center | 10552 Nw 13th Ave, Gainesville, FL 32606-8088 | 2013-09-20 |
| 1558606335 | Primary Care of Gainesville LLC | Clinic/Center | 1026 Sw 2nd Ave Ste C, Gainesville, FL 32601-8182 | 2012-12-04 |
| 1780709998 | Innocent Odocha Md Pa | Clinic/Center | 816 Nw 13th St, Gainesville, FL 32601-2903 | 2007-03-20 |
| 1164443255 | Shamal D Nadkarni Md Pa | Clinic/Center | 1026 Sw 2nd Ave, Suite D, Gainesville, FL 32601-6134 | 2006-07-22 |
| 1538794326 | Psk Management LLC | Clinic/Center | 1364 Nw 121st Way, Gainesville, FL 32606-5274 | 2020-03-12 |
| 1720514029 | Lakeside Family Medicine | Clinic/Center | 104 Carrington Park Dr Ste B, Gainesville, GA 30504-6603 | 2017-05-04 |
| 1124478078 | Prosalud Medical Center | Clinic/Center | 1870 Atlanta Rd, Ste J, Gainesville, GA 30504-5948 | 2016-06-21 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32608 |
Please comment or provide details below to improve the information on MERIDIAN PRIMARY CARE CLINIC.
| 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.