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NPI 1366866089 · Preferred Provider Organization · Lakewood Ranch, FL
Provider details
- NPI number
- 1366866089
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Matthew Imes, President(985) 687-5636
Specialties & taxonomies
Managed Care Organizations
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
6920 Professional Pkwy E
Lakewood Corporate Center a
Lakewood Ranch, FL 34240-8414
Phone: (941) 313-3300
Fax: (941) 313-3405
Street-level locationGet directions
Mailing address
6920 Professional Pkwy E
Lakewood Ranch, FL 34240-8414
Registry dates
- Enumerated
- 2014-02-17
- Last updated
- 2014-02-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.