Organization Active NPI

Limeres Medical Clinic PA

  • Specialist
  • Palatka, FL
National Provider Identifier
1184804585
Registry record updated Mar 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME76533 Issued in FL
Legal business name
LIMERES MEDICAL CLINIC PA
Practice address
530 Zeagler Dr Ste 102
Palatka, FL 32177-6856
Phone
(386) 326-0223
Fax
(386) 326-0664
NPI assigned
Nov 14, 2007
Last updated
Mar 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Miguel Manuel Limeres Jr., M.D.NPI 1194717470
Title
Owner
Phone
(386) 326-0223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME76533 FL Primary

Addresses

Primary practice location

530 Zeagler Dr Ste 102
Palatka, FL 32177-6856

Mailing address

530 Zeagler Dr Ste 102
Palatka, FL 32177-6856
Phone (386) 326-0223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041103001255 FL Part B Supplier - Clinic/Group Practice 3779545447 Receives reassigned benefits from 1 practitioner
Practice locations: Palatka, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1002948Limeres Medical Clinic530 Zeagler Dr Ste 102, Palatka, FL 32177Certificate of waiverAug 18, 2026

National Provider Directory

National Provider Directory

Locations

205 Zeagler Dr
Ste 203
Palatka, FL 32177
Phone (386) 312-8519

530 Zeagler Dr
Ste 102
Palatka, FL 32177
Phone (386) 326-0223

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395273600000",
    "number": "1184804585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 ZEAGLER DR STE 102",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321776856",
            "telephone_number": "386-326-0223",
            "fax_number": "386-326-0664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 ZEAGLER DR STE 102",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321776856",
            "telephone_number": "386-326-0223",
            "fax_number": "386-326-0664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIMERES MEDICAL CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2014-03-20",
        "status": "A",
        "authorized_official_last_name": "LIMERES",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-326-0223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME76533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.