Provider Demographics
NPI:1508903964
Name:MEYER, MAX CHARLES (DC)
Entity Type:Individual
Prefix:DR
First Name:MAX
Middle Name:CHARLES
Last Name:MEYER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 N PINE HILLS RD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32808-7247
Mailing Address - Country:US
Mailing Address - Phone:407-445-4500
Mailing Address - Fax:
Practice Address - Street 1:910 N PINE HILLS RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32808-7247
Practice Address - Country:US
Practice Address - Phone:407-445-4500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2013-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4741111N00000X
FL9966111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
6059113Medicare ID - Type Unspecified
U72149Medicare UPIN