Provider Demographics
NPI:1609455906
Name:MEYER, DREW
Entity Type:Individual
Prefix:
First Name:DREW
Middle Name:
Last Name:MEYER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6600 NW 16TH ST STE 2
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33313-4554
Mailing Address - Country:US
Mailing Address - Phone:866-990-2117
Mailing Address - Fax:754-206-3958
Practice Address - Street 1:6600 NW 16TH ST STE 2
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33313-4554
Practice Address - Country:US
Practice Address - Phone:866-990-2117
Practice Address - Fax:754-206-3958
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-05
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies