Basic Information
| Provider Information | |||||||||
| NPI: | 1144302480 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | ROBERT M MEYER MD PA | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | MEYER INTERNAL MEDICINE | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1781 PARK CENTER DR | ||||||||
| Address2: | SUITE 120 | ||||||||
| City: | ORLANDO | ||||||||
| State: | FL | ||||||||
| PostalCode: | 328356254 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4072973626 | ||||||||
| FaxNumber: | 4072973772 | ||||||||
| Practice Location | |||||||||
| Address1: | 1781 PARK CENTER DR | ||||||||
| Address2: | SUITE 120 | ||||||||
| City: | ORLANDO | ||||||||
| State: | FL | ||||||||
| PostalCode: | 328356254 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4072973626 | ||||||||
| FaxNumber: | 4072973772 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/19/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | MEYER | ||||||||
| AuthorizedOfficialFirstName: | ROBERT | ||||||||
| AuthorizedOfficialMiddleName: | M | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 4072973626 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | ME47348 | FL | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.