Healthcare Provider Details

I. General information

NPI: 1528391604
Provider Name (Legal Business Name): MEIAN, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2009
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 DOUGLAS AVE STE 161
ALTAMONTE SPRINGS FL
32714-2017
US

IV. Provider business mailing address

805 DOUGLAS AVE STE 161
ALTAMONTE SPRINGS FL
32714-2017
US

V. Phone/Fax

Practice location:
  • Phone: 407-951-7841
  • Fax: 407-951-7843
Mailing address:
  • Phone: 407-951-7841
  • Fax: 407-951-7843

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License NumberAP2719
License Number StateFL

VIII. Authorized Official

Name: MS. FEIFEI LIU
Title or Position: PRESIDENT
Credential: AP
Phone: 407-951-7841