Healthcare Provider Details

I. General information

NPI: 1932434586
Provider Name (Legal Business Name): MEGAN R BUCK M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGAN NICHOLE RIVERS MD

II. Dates (important events)

Enumeration Date: 10/14/2009
Last Update Date: 07/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5440 LINTON BLVD
DELRAY BEACH FL
33484-6514
US

IV. Provider business mailing address

PO BOX 551420
FORT LAUDERDALE FL
33355-1420
US

V. Phone/Fax

Practice location:
  • Phone: 561-498-4440
  • Fax: 561-327-2674
Mailing address:
  • Phone: 800-243-3839
  • Fax: 954-839-2569

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberP3427
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberME115709
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: