Doctor Name: | JAMES R MEREDITH |
NPI Number: | 1023207016 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | ME102682 |
Business Practice Address: | 424 N Park Ave Apopka, FL - 327124152 |
Business Phone Number: | 4078860611 |
Business Fax Number: | 4078862817 |
Mailing Address: | 424 N Park Ave, APOPKA |
State: | FL |
Postal Code: | 327124152 |
Phone Number: | 4078860611 |
Fax Number: | 4078862817 |
NPI Enumeration Date: | 10/16/2007 |
NPI Last Update Date: | 02/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME102682 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |