Medical Specialists of Florida

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MEDICAL SPECIALISTS OF FLORIDA

Practice address

304 N Main St
Chiefland, FL 32626-0803

Phone

(352) 362-9142

Fax

(325) 237-1785

NPI assigned

Oct 12, 2020

Last updated

Mar 19, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Larry Dehoyos, CPCS, PESC

Title

Director

Phone

(847) 770-6086

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616112000000",
    "number": "1922606128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 SW STATE ROAD 200",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344765554",
            "telephone_number": "352-237-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 N MAIN ST",
            "city": "CHIEFLAND",
            "state": "FL",
            "postal_code": "326260803",
            "telephone_number": "352-362-9142",
            "fax_number": "325-237-1785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11950 County Road 101",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321629332",
            "country_code": "US",
            "telephone_number": "352-444-7077",
            "fax_number": "352-261-0088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDICAL SPECIALISTS OF FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-12",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A",
        "authorized_official_last_name": "DEHOYOS",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "847-770-6086",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPCS, PESC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Jordan Marlo, MSPT
• Stacey Jones Marlo, PT
• William B Martin, DMD
• Sally Teadt Martinez, FNP-BC, DNP
• Matthew Cole Medei, DPT
• Meridian Behavioral Healthcare, Inc.
• Meridian Behavioral Healthcare, Inc.
• Marina D Miller, HAS,BC-HIS
• Nicole Miller
• Shameka Mobley

• Clinic/Center in Chiefland, FL
• Providers in Chiefland, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; 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.