Provider Demographics
NPI:1659699114
Name:MEIKLE, DAWN
Entity Type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:
Last Name:MEIKLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:551 SW 109TH AVE APT 105
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33025-7112
Mailing Address - Country:US
Mailing Address - Phone:954-646-1072
Mailing Address - Fax:954-885-5585
Practice Address - Street 1:1133 SW 123RD TER
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33025-5788
Practice Address - Country:US
Practice Address - Phone:954-646-1072
Practice Address - Fax:954-885-5585
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-08
Last Update Date:2010-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health