Provider Demographics
NPI:1366002115
Name:MEREDITH, FLORRIE
Entity Type:Individual
Prefix:
First Name:FLORRIE
Middle Name:
Last Name:MEREDITH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2153 UNION WOODS DR
Mailing Address - Street 2:
Mailing Address - City:BRODNAX
Mailing Address - State:VA
Mailing Address - Zip Code:23920-3311
Mailing Address - Country:US
Mailing Address - Phone:434-532-5245
Mailing Address - Fax:
Practice Address - Street 1:2153 UNION WOODS DR
Practice Address - Street 2:
Practice Address - City:BRODNAX
Practice Address - State:VA
Practice Address - Zip Code:23920-3311
Practice Address - Country:US
Practice Address - Phone:434-532-5245
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-14
Last Update Date:2019-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)