Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | ME137769 | FL |
N | 208600000X | Surgeon | ME137769 | FL |
N | 2086S0102X | Surgical Critical Care | 35.131853 | OH |
Y | 2086S0102X | Surgical Critical Care | 54105 | KY |
NPI | 1295028173 |
---|---|
Provider Name | Dr. Meir Berel Leib Meerkov |
First Address | Gainesville, FL 32610-0108 |
Second Address | Lexington, KY 40536-0284 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2011 |
Last Update Date | 29/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100966200 | (05) | FL |