Healthcare Provider Details

I. General information

NPI: 1487064630
Provider Name (Legal Business Name): MEREDITH DOWNS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2014
Last Update Date: 04/03/2025
Certification Date: 04/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4727 W IRLO BRONSON MEMORIAL HWY
KISSIMMEE FL
34746-5326
US

IV. Provider business mailing address

13905 FAIRWAY ISLAND DR
ORLANDO FL
32837-5243
US

V. Phone/Fax

Practice location:
  • Phone: 407-978-6085
  • Fax:
Mailing address:
  • Phone: 386-793-9353
  • Fax: 407-386-7454

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-16-23653
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: