Provider Demographics
NPI:1982984787
Name:MEYERS, ROBERT DOWLER (ARNP)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:DOWLER
Last Name:MEYERS
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:793 CROSSWIND WAY
Mailing Address - Street 2:
Mailing Address - City:PORT ORANGE
Mailing Address - State:FL
Mailing Address - Zip Code:32128-6059
Mailing Address - Country:US
Mailing Address - Phone:386-767-6802
Mailing Address - Fax:
Practice Address - Street 1:793 CROSSWIND WAY
Practice Address - Street 2:
Practice Address - City:PORT ORANGE
Practice Address - State:FL
Practice Address - Zip Code:32128-6059
Practice Address - Country:US
Practice Address - Phone:386-767-6802
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-24
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 2732292363LA2200X
FLAPRN2732292363LA2200X
MI4704384689363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL004357200Medicaid