Gainesville Medical Obesity Specialty Clinic LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

ME0054910 Issued in FL

Legal business name

GAINESVILLE MEDICAL OBESITY SPECIALTY CLINIC LLC

Practice address

6830 NW 11TH PL
Suite a
Gainesville, FL 32605-4254

Phone

(352) 672-9000

Fax

(352) 505-8552

NPI assigned

Mar 6, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Cindi Lynn Larimer, M.D.

Title

Owner/Manager

Phone

(352) 672-9000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1609316975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6830 NW 11TH PL",
            "address_2": "SUITE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054254",
            "telephone_number": "352-672-9000",
            "fax_number": "352-505-8552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6830 NW 11TH PL",
            "address_2": "SUITE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054254",
            "telephone_number": "352-672-9000",
            "fax_number": "352-505-8552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAINESVILLE MEDICAL OBESITY SPECIALTY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LARIMER",
        "authorized_official_first_name": "CINDI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "352-672-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME0054910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062219200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.