Healthcare Provider Details

I. General information

NPI: 1447758818
Provider Name (Legal Business Name): WILLIAM FLOYD MEYER PA-C, MMS, MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: FLOYD MEYER PA-C, MMS, MPH

II. Dates (important events)

Enumeration Date: 01/31/2018
Last Update Date: 10/01/2021
Certification Date: 11/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9250 CORKSCREW RD STE 15
ESTERO FL
33928-3217
US

IV. Provider business mailing address

9250 CORKSCREW RD STE 15
ESTERO FL
33928-3217
US

V. Phone/Fax

Practice location:
  • Phone: 239-687-3199
  • Fax: 239-398-9437
Mailing address:
  • Phone: 239-687-3199
  • Fax: 239-398-9437

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA9110611
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: