Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VG0400X | Gynecologist | 5101014184 | MI |
N | 207VX0201X | Gynecologic Oncologist | 5101014184 | MI |
Y | 207VX0201X | Gynecologic Oncologist | OS16232 | FL |
NPI | 1568554129 |
---|---|
Provider Name | Dr. Joseph Keith Meunier |
First Address | Orlando, FL 32806-3910 |
Second Address | Orlando, FL 32806-3910 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2006 |
Last Update Date | 20/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
103473800 | (05) | FL |
1653302575 | BCBS INDIVIDUAL PIN (01) | MI |
4140995 | (05) | MI |
G64283 | (02) | MI |