Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | ME103325 | FL |
NPI | 1356592919 |
---|---|
Provider Name | Dr. Philip A Meinhardt |
First Address | Sarasota, FL 34233-5090 |
Second Address | Sarasota, FL 34233-5090 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/10/2008 |
Last Update Date | 10/12/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
KG753 | MEDICARE PIN (01) | FL |