Active NPI
Meridian Health Systems, Inc
Doing business as none
- Multi-Specialty Clinic/Center
- Clermont, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- License
- ME110756
- Legal business name
- MERIDIAN HEALTH SYSTEMS, INC
- Doing business as
- none
- Practice address
- 265 Citrus Tower Blvd Ste 206
Clermont, FL 34711-1908 - Phone
- (323) 434-1070
- Fax
- (310) 693-8082
- NPI assigned
- Dec 7, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Anthony C Dike, M.D.
- Title
- President
- Phone
- (323) 434-4626
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | ME110756 | FL | Primary |
Addresses
Primary practice location
265 Citrus Tower Blvd Ste 206
Clermont, FL 34711-1908
Mailing address
4127 W 62ND St
Los Angeles, CA 90043-3612
Phone (323) 434-4626
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME110756 | Other | FL | FLORIDA HEALTH DEPARTMENT-DIVISION OF MEDICAL QUALITY ASSURANCE |
Other names 1
- none
National Provider Directory
National Provider DirectoryLocations
255 Citrus Tower Blvd
Ste 208
Clermont, FL 34711
Phone (323) 434-4626
1149 Main St
#A
Lady Lake, FL 32159
Phone (323) 872-1457
1400 NE 125th St
#C
North Miami, FL 33161
Phone (323) 252-2784
1210 E Plant St
Ste 140
Winter Garden, FL 34787
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.
-
- Internal Medicine Physician
- Torrance, CA
- NPI 1003858481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291680000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641427200000",
"number": "1558664938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4127 W 62ND ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900433612",
"telephone_number": "323-434-4626",
"fax_number": "310-693-8082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "265 CITRUS TOWER BLVD STE 206",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347111908",
"telephone_number": "323-434-1070",
"fax_number": "310-693-8082"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERIDIAN HEALTH SYSTEMS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-07",
"last_updated": "2022-01-06",
"certification_date": "2022-01-06",
"status": "A",
"authorized_official_last_name": "DIKE",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "323-434-4626",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "FL",
"license": "ME110756",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA HEALTH DEPARTMENT-DIVISION OF MEDICAL QUALITY ASSURANCE",
"identifier": "ME110756",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "none",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "none",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.