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NPI 1366866089ActiveOrganization· Preferred Provider Organization· Lakewood Ranch, FL
Preferred Provider Organization in Lakewood Ranch, Florida, registered in NPPES in February 2014. The authorized official on file is Matthew I. Imes, President.
Overview
| NPI | 1366866089 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 17, 2014 |
| Last updated in NPPES | Feb 17, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|