Organization
MERIDIAN HEALTH SYSTEMS, INC
Active
Other names
none
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY C DIKE M.D. (PRESIDENT)
(323) 434-4626
Entity
Organization
Contact information
Practice address
265 CITRUS TOWER BLVD STE 206, CLERMONT, FL 34711-1908
(323) 434-1070
(310) 693-8082
Mailing address
4127 W 62ND ST, LOS ANGELES, CA 90043-3612
(323) 434-4626
(310) 693-8082
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
ME110756
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME110756
FLORIDA HEALTH DEPARTMENT-DIVISION OF MEDICAL QUALITY ASSURANCE
FL
Enumeration date
12/07/2010
Last updated
01/06/2022
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