Provider Demographics
NPI:1790872406
Name:MEINZ, SARA ANN (DO)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:ANN
Last Name:MEINZ
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 W OAK ST STE 370
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-4910
Mailing Address - Country:US
Mailing Address - Phone:407-487-8333
Mailing Address - Fax:407-984-5081
Practice Address - Street 1:720 W OAK ST STE 370
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-4910
Practice Address - Country:US
Practice Address - Phone:407-487-8333
Practice Address - Fax:407-984-5081
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS9867207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL281176600Medicaid
FL146VEOtherBCBSFL
FL281176600Medicaid