Organization Active NPI

Mariner Primecare Medical Center, LLC

Doing business as veriMED Health Group Mariner

  • Internal Medicine Physician
  • Spring Hill, FL
National Provider Identifier
1215193727
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MARINER PRIMECARE MEDICAL CENTER, LLC
Doing business as
veriMED Health Group Mariner
Practice address
7064 Mariner Blvd
Spring Hill, FL 34609-1000
Phone
(352) 597-5557
Fax
(352) 597-0552
NPI assigned
Aug 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2015

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

Authorized official

Name
Gladymar Vrkic
Title
Administrator
Phone
(352) 597-5557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

7064 Mariner Blvd
Spring Hill, FL 34609-1000

Mailing address

7064 Mariner Blvd
Spring Hill, FL 34609-1000
Phone (352) 597-5557

Other names 1

  • veriMED Health Group Mariner Doing business as

National Provider Directory

National Provider Directory

Locations

7064 Mariner Blvd
Spring Hill, FL 34609
Phone (352) 597-4631

NPI Registry JSON

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422403200000",
    "number": "1215193727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7064 MARINER BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346091000",
            "telephone_number": "352-597-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7064 MARINER BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346091000",
            "telephone_number": "352-597-5557",
            "fax_number": "352-597-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARINER PRIMECARE MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-04",
        "last_updated": "2015-01-28",
        "status": "A",
        "authorized_official_last_name": "VRKIC",
        "authorized_official_first_name": "GLADYMAR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "352-597-5557"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "veriMED Health Group Mariner",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.