Provider Demographics
NPI:1972809697
Name:MEURER, DIANNE M
Entity Type:Individual
Prefix:
First Name:DIANNE
Middle Name:M
Last Name:MEURER
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 1:2038 N DIXIE HWY
Mailing Address - Street 2:#104
Mailing Address - City:WILTON MANORS
Mailing Address - State:FL
Mailing Address - Zip Code:33305-2269
Mailing Address - Country:US
Mailing Address - Phone:954-530-4832
Mailing Address - Fax:954-530-4852
Practice Address - Street 1:2038 N DIXIE HWY
Practice Address - Street 2:#104
Practice Address - City:WILTON MANORS
Practice Address - State:FL
Practice Address - Zip Code:33305-2269
Practice Address - Country:US
Practice Address - Phone:954-530-4832
Practice Address - Fax:954-530-4852
Is Sole Proprietor?:No
Enumeration Date:2011-01-27
Last Update Date:2011-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL787171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist