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Southeastern Integrated Medical Pl

Mental Health Counselor in Gainesville, FL · enumerated 2008 · authorized official Jesse Brannen, Chief Operating Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1093970162

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Registry record

Entity type Organization (Type 2)
Legal business name Southeastern Integrated Medical Pl
Parent organization Southeastern Integrated Medical Pl
Practice address 4881 Nw 8th Ave, Suite 2, Gainesville, FL, 32605
Phone (352) 224-2486
Fax (352) 331-6550
Enumeration date Jul 28, 2008
Last updated in NPPES Jul 28, 2008

Taxonomy & classification

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers · License PY6591 (FL) Primary

Authorized official

Name Jesse Brannen
Title Chief Operating Officer
Phone (352) 224-2200

Other identifiers

Identifier Type State Issuer
058586600 Medicaid FL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Southeastern Integrated Medical Pl?
The NPI for Southeastern Integrated Medical Pl is 1093970162, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Southeastern Integrated Medical Pl?
NPPES lists Jesse Brannen (Chief Operating Officer) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-07-28.