Provider Demographics
NPI:1104194448
Name:SERVICES BY MEYERS INC.
Entity Type:Organization
Organization Name:SERVICES BY MEYERS INC.
Other - Org Name:SURGICAL FIRST ASSISTING OF PORT ORANGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:D
Authorized Official - Last Name:MEYERS
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:386-767-6802
Mailing Address - Street 1:793 CROSSWIND WAY
Mailing Address - Street 2:
Mailing Address - City:PORT ORANGE
Mailing Address - State:FL
Mailing Address - Zip Code:32128-6059
Mailing Address - Country:US
Mailing Address - Phone:386-767-6802
Mailing Address - Fax:386-492-2949
Practice Address - Street 1:793 CROSSWIND WAY
Practice Address - Street 2:
Practice Address - City:PORT ORANGE
Practice Address - State:FL
Practice Address - Zip Code:32128-6059
Practice Address - Country:US
Practice Address - Phone:386-767-6802
Practice Address - Fax:386-492-2949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-01
Last Update Date:2014-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 2732292363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty