Provider Demographics
NPI:1447677299
Name:MEYER MEDICAL AND CHIROPRACTIC 1
Entity type:Organization
Organization Name:MEYER MEDICAL AND CHIROPRACTIC 1
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/ OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MAX
Authorized Official - Middle Name:C
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:407-445-4500
Mailing Address - Street 1:34 S PARK AVE
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32703-4253
Mailing Address - Country:US
Mailing Address - Phone:407-445-4501
Mailing Address - Fax:407-814-9914
Practice Address - Street 1:34 S PARK AVE
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-4253
Practice Address - Country:US
Practice Address - Phone:407-445-4501
Practice Address - Fax:407-814-9914
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ZAMALUKE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-03-18
Last Update Date:2014-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center