Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 43445 | FL |
NPI | 1063536159 |
---|---|
Provider Name | Dr. Michael Wells Meriwether |
First Address | Sarasota, FL 34240-8557 |
Second Address | Lakewood Ranch, FL 34202-4101 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2007 |
Last Update Date | 20/05/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D85710 | (02) | FL |