Provider Demographics
NPI:1447758818
Name:MEYER, WILLIAM FLOYD (PA-C, MMS, MPH)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:FLOYD
Last Name:MEYER
Suffix:
Gender:M
Credentials:PA-C, MMS, MPH
Other - Prefix:
Other - First Name:FLOYD
Other - Middle Name:
Other - Last Name:MEYER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PA-C, MMS, MPH
Mailing Address - Street 1:9250 CORKSCREW RD STE 15
Mailing Address - Street 2:
Mailing Address - City:ESTERO
Mailing Address - State:FL
Mailing Address - Zip Code:33928-3217
Mailing Address - Country:US
Mailing Address - Phone:239-687-3199
Mailing Address - Fax:239-398-9437
Practice Address - Street 1:9250 CORKSCREW RD STE 15
Practice Address - Street 2:
Practice Address - City:ESTERO
Practice Address - State:FL
Practice Address - Zip Code:33928-3217
Practice Address - Country:US
Practice Address - Phone:239-687-3199
Practice Address - Fax:239-398-9437
Is Sole Proprietor?:No
Enumeration Date:2018-01-31
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9110611363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical