Provider Demographics
NPI:1508206921
Name:MERATI, MIESHA (DO)
Entity Type:Individual
Prefix:DR
First Name:MIESHA
Middle Name:
Last Name:MERATI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4770 BISCAYNE BLVD
Mailing Address - Street 2:STE 900
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-3202
Mailing Address - Country:US
Mailing Address - Phone:786-664-7489
Mailing Address - Fax:786-550-1289
Practice Address - Street 1:4770 BISCAYNE BLVD
Practice Address - Street 2:STE 900
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-3202
Practice Address - Country:US
Practice Address - Phone:786-664-7489
Practice Address - Fax:786-550-1289
Is Sole Proprietor?:No
Enumeration Date:2013-06-29
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.013438207NS0135X
FLOS17863207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
No207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology