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Southeastern Integrated Medical Pl

Southeastern Integrated Medical Pl is a healthcare organization registered as Diagnostic Radiology Physician in Ocala, FL, holding Type 2 (organization) NPI 1912146853 since 2009. The authorized official on file is Jesse Brannen, Chief Operating Officer.

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NPI 1912146853
Entity type Organization (Type 2)
Legal business name Southeastern Integrated Medical Pl
Parent organization Southeastern Integrated Medical Pl
Practice address 3304 SW 34TH CIR, Ocala, FL, 34474
Phone 3527324438
Fax 3522910231
Enumeration date 2009-02-17
Last updated in NPPES 2009-02-17

Authorized official

Name Jesse Brannen
Title Chief Operating Officer
Phone 3522242200

Taxonomy & classification

Taxonomy code Specialty Primary License State
2085R0202X Diagnostic Radiology Physician Primary FL

Other identifiers

Identifier Type State Issuer
058586600 Medicaid FL
Copy-ready billing details
Provider: Southeastern Integrated Medical Pl
NPI: 1912146853
Taxonomy: 2085R0202X (Diagnostic Radiology Physician)
Address: 3304 SW 34TH CIR, Ocala, FL, 34474

Providers at this address

NPI Name Type Specialty Location
1932191541 Thomas Lafferty Individual Specialist Ocala, FL
1093742959 Michael K Riley M D P A Organization Specialist Ocala, FL
1902010945 Raul Diaz Individual Internal Medicine Physician Ocala, FL
1124210067 Stephanie Ingram Individual Rheumatology Physician Ocala, FL
1326363193 Trudy Simpson Individual Nurse Practitioner Ocala, FL
1851688295 Jenny Chen Individual Adult Medicine Physician Ocala, FL

Verify this record

Cross-check NPI 1912146853 against the authoritative CMS record: view Southeastern Integrated Medical Pl on the official NPPES registry .

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. Read the full guide or validate an NPI number.

Frequently asked questions

What type of organization is Southeastern Integrated Medical Pl?
Southeastern Integrated Medical Pl is registered in NPPES as a Diagnostic Radiology Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2009-02-17.