Medics Primary Care

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MEDICS PRIMARY CARE

Practice address

484 SW Commerce Dr Ste 101
Lake City, FL 32025-1508

Phone

(386) 406-2577

Fax

(855) 618-2462

NPI assigned

Jan 25, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Annette Julissa Gandia-Morales

Title

Administrator

Phone

(386) 406-2577

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ernesto Luis Toledo, M. D.

  • General Practice Physician
  • Bradenton, FL
  • NPI 1972721330
  Medicare reassignment NPD

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651190400000",
    "number": "1992457444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 SW COMMERCE DR STE 101",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320251508",
            "telephone_number": "386-406-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 SW COMMERCE DR STE 101",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320251508",
            "telephone_number": "386-406-2577",
            "fax_number": "855-618-2462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICS PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A",
        "authorized_official_last_name": "GANDIA-MORALES",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_middle_name": "JULISSA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "386-406-2577",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "toledomd@medicsprimary.care",
            "affiliation": "N",
            "endpointDescription": "Provider direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "484 SW Commerce Dr Ste 101",
            "city": "Lake City",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320251508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tareva McNeal
• Latona D McQuay, LPN
• Juanita Todd McSpadden, ARNP
• Med-Trans Corporation
• Richard Anthony Medeiros, ARNP
• Rosalyn Medina-Ortiz
• Edma I Medina, PHARM.D.
• Raul Edgardo Medina, M.D.
• Tami Renee Meeks, RN
• Mefl, LLC

• Primary Care Clinic/Center in Lake City, FL
• Providers in Lake City, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.