Provider Demographics
NPI:1073152088
Name:MEIRA DERMATOLOGY, LLC
Entity Type:Organization
Organization Name:MEIRA DERMATOLOGY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:FRANCES
Authorized Official - Last Name:POHLER
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:727-777-6098
Mailing Address - Street 1:8484 W GULF BLVD
Mailing Address - Street 2:
Mailing Address - City:TREASURE ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33706-3422
Mailing Address - Country:US
Mailing Address - Phone:727-777-6098
Mailing Address - Fax:727-888-6829
Practice Address - Street 1:8839 BRYAN DAIRY RD STE 115
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33777-1207
Practice Address - Country:US
Practice Address - Phone:727-777-6098
Practice Address - Fax:727-888-6829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-23
Last Update Date:2019-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty