Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 25MA08197500 | NJ |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | ME100257 | FL |
N | 207YS0123X | Facial Plastic Surgeon | 25MA08197500 | NJ |
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | ME100257 | FL |
NPI | 1396890869 |
---|---|
Provider Name | Jason D Meier |
First Address | Jacksonville, FL 32223-1627 |
Second Address | Jacksonville, FL 32223-0756 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2007 |
Last Update Date | 30/11/2016 |