Provider Demographics
NPI:1962272328
Name:MERIDIAN ASSOCIATES, LLC
Entity type:Organization
Organization Name:MERIDIAN ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:JOYCE
Authorized Official - Last Name:GRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-496-2192
Mailing Address - Street 1:4250 ALAFAYA TRL STE 212
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-9424
Mailing Address - Country:US
Mailing Address - Phone:407-601-3615
Mailing Address - Fax:386-200-5919
Practice Address - Street 1:934 N MAGNOLIA AVE STE 327
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-3840
Practice Address - Country:US
Practice Address - Phone:407-496-2192
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health