Meridian Medical Center Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MERIDIAN MEDICAL CENTER INC

Practice address

5975 W Sunrise Blvd
Suite 106
Plantation, FL 33313-6801

Phone

(954) 200-8362

Fax

(954) 206-4458

NPI assigned

Jun 6, 2013

Organization subpart

No

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

Authorized official

Name

Adeilson Jorge

Title

President

Phone

(754) 200-8362

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370476800000",
    "number": "1265870752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5975 W SUNRISE BLVD",
            "address_2": "SUITE 106",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333136801",
            "telephone_number": "954-200-8362",
            "fax_number": "954-206-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5975 W SUNRISE BLVD",
            "address_2": "SUITE 106",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333136801",
            "telephone_number": "954-200-8362",
            "fax_number": "954-206-4458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-06",
        "last_updated": "2013-06-06",
        "status": "A",
        "authorized_official_last_name": "JORGE",
        "authorized_official_first_name": "ADEILSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "754-200-8362"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer J Menekseoglu Colella, P.T.
• Jaime Alejandro Mercado, MD
• Melissa Ann Mercer, OTR/L
• Bryan Meredith, PHARMD
• Meridian Emergency Physicians, LLC
• Herold J Merisier, MD
• Styr- Destiny Meronard
• Merryl S Koplo OD PA
• Cynthia Mesa
• Angela Messina, PA-C

• General Practice Physician in Plantation, FL
• Providers in Plantation, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; 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.