Organization Active NPI

Meridian Health Systems, Inc

Doing business as none

  • Multi-Specialty Clinic/Center
  • Clermont, FL
National Provider Identifier
1558664938
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
ME110756 Issued in FL
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

Updated by the provider on Jan 6, 2022

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.NPI 1003858481
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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
ME110756OtherFLFLORIDA HEALTH DEPARTMENT-DIVISION OF MEDICAL QUALITY ASSURANCE

Other names 1

  • none Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.