Provider Demographics
NPI:1770921090
Name:MEIGHAN, LETICIA (ARNP)
Entity type:Individual
Prefix:MS
First Name:LETICIA
Middle Name:
Last Name:MEIGHAN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13962 SW 276TH WAY
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-3211
Mailing Address - Country:US
Mailing Address - Phone:786-624-9333
Mailing Address - Fax:
Practice Address - Street 1:1621 SW 107TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-7344
Practice Address - Country:US
Practice Address - Phone:786-422-6525
Practice Address - Fax:786-621-7815
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-08
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3326732363LP0808X
FLAPRN3326732363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL012323800Medicaid