# MERIDIAN MEDICAL CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265870752
- **Authorized official:** ADEILSON JORGE (PRESIDENT)
- **Authorized official phone:** (754) 200-8362

## Contact information

- **Practice address:** 5975 W SUNRISE BLVD, SUITE 106, PLANTATION, FL 33313-6801
- **Practice address phone:** (954) 200-8362
- **Practice address fax:** (954) 206-4458
- **Mailing address:** 5975 W SUNRISE BLVD, SUITE 106, PLANTATION, FL 33313-6801
- **Mailing address phone:** (954) 200-8362
- **Mailing address fax:** (954) 206-4458

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | FL | Yes |

## Other

- **Enumeration date:** 06/06/2013
- **Last updated:** 06/06/2013