Provider Demographics
NPI:1013287713
Name:DAN H. MEIRSON, M.D., P.A.
Entity Type:Organization
Organization Name:DAN H. MEIRSON, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D./CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DAN
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:MEIRSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-782-7701
Mailing Address - Street 1:1166 WEST NEWPORT CENTER DRIVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-7739
Mailing Address - Country:US
Mailing Address - Phone:954-782-7701
Mailing Address - Fax:954-782-9596
Practice Address - Street 1:1166 WEST NEWPORT CENTER DRIVE
Practice Address - Street 2:SUITE 100
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-7739
Practice Address - Country:US
Practice Address - Phone:954-782-7701
Practice Address - Fax:954-782-9596
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-11
Last Update Date:2015-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME60050207N00000X, 207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic SurgeryGroup - Multi-Specialty
No207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL12338Medicare PIN
FLE87095Medicare UPIN