OrganizationActive
Mending Fences
NPI 1316497530 · Addiction Medicine (Family Medicine) Physician · Morriston, FL
Provider details
- NPI number
- 1316497530
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tilman Mears, Interim Ceo(352) 528-2801
- License
- 4246425857601 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
15530 W Highway 326
Morriston, FL 32668-7311
Phone: (352) 528-1300
Fax: (352) 528-0651
Street-level locationGet directions
Mailing address
15530 W Highway 326
Morriston, FL 32668-7311
Other names (DBA / former)
- Doing business as
- Mending Fences, LLC
Registry dates
- Enumerated
- 2016-10-12
- Last updated
- 2018-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.