Organization
MERIDIAN PRIMARY CARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN COHN (CEO)
(352) 363-0209
Entity
Organization
Contact information
Practice address
4300 SW 13TH ST, GAINESVILLE, FL 32608
(352) 374-5600
Mailing address
4300 SW 13TH ST, GAINESVILLE, FL 32608-4006
(352) 374-5600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
HCC10982
FL
261QP2300X
Primary Care Clinic/Center
Primary
HCC10982
FL
261QP2300X
Primary Care Clinic/Center
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016511900
—
FL
Enumeration date
11/03/2015
Last updated
01/28/2025
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