Doctor Name: | MR. MEYER LANSKY |
NPI Number: | 1851520357 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | ACN 597 |
Business Practice Address: | 3900 S Goldenrod Rd Ste 142 Orlando, FL - 328225629 |
Business Phone Number: | 4079853916 |
Business Fax Number: | 4079853917 |
Mailing Address: | 3900 S Goldenrod Rd Ste 142, ORLANDO |
State: | FL |
Postal Code: | 328225629 |
Phone Number: | 4079310444 |
Fax Number: | 4076747887 |
NPI Enumeration Date: | 07/07/2009 |
NPI Last Update Date: | 04/05/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ACN 597 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |