Provider Demographics
NPI:1518076330
Name:MEIRSON, DAN HOWARD (MD)
Entity Type:Individual
Prefix:
First Name:DAN
Middle Name:HOWARD
Last Name:MEIRSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:DAN
Other - Middle Name:H
Other - Last Name:MEIRSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD PA
Mailing Address - Street 1:1166 W NEWPORT CENTER DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-7743
Mailing Address - Country:US
Mailing Address - Phone:954-782-7701
Mailing Address - Fax:954-782-9596
Practice Address - Street 1:1166 W NEWPORT CENTER DR
Practice Address - Street 2:SUITE 100
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-7743
Practice Address - Country:US
Practice Address - Phone:954-782-7701
Practice Address - Fax:954-782-9596
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2016-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME60050207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL12338ZOtherINDIVIDUAL PTAN
FL12338ZOtherINDIVIDUAL PTAN
FL12338ZOtherINDIVIDUAL PTAN