Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | ME106802 | FL |
NPI | 1053560490 |
---|---|
Provider Name | Meera Saraswathi Nair |
First Address | Gainesville, FL 32605-4582 |
Second Address | Gainesville, FL 32607-2817 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/09/2008 |
Last Update Date | 14/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
ME106802 | MEDICAL LICENSE (01) | FL |