Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | MD201439 | OR |
Y | 207L00000X | Anesthesiologist | ME131737 | FL |
NPI | 1013350925 |
---|---|
Provider Name | Meredith Miller Degnan |
First Address | Miami, FL 33136-1005 |
Second Address | Miami, FL 33136-1005 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2013 |
Last Update Date | 08/09/2020 |