Organization
MERIDIAN PRIMARY CARE CLINIC
Active
Parent organization
MERIDIAN BEHAVIORAL HEALTHCARE INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERIDIAN BEHAVIORAL HEALTHCARE INC.
Authorized official
LAUREN COHN (SVP QI / CPO)
(352) 374-5600
Entity
Organization
Contact information
Practice address
439 SW MICHIGAN ST, LAKE CITY, FL 32025
(352) 374-5600
Mailing address
4300 SW 13TH ST, GAINESVILLE, FL 32608-4006
(352) 374-5600
(352) 244-0280
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
HCC
FL
261QP2300X
Primary Care Clinic/Center
Primary
HCC
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016511900
—
FL
Enumeration date
05/22/2018
Last updated
06/06/2018
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