Healthcare Provider Details

I. General information

NPI: 1497784060
Provider Name (Legal Business Name): MEURICE JEAN PIERRE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 09/18/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8900 N KENDALL DR
MIAMI FL
33176-2118
US

IV. Provider business mailing address

PO BOX 552249
TAMPA FL
33655-0001
US

V. Phone/Fax

Practice location:
  • Phone: 786-296-6299
  • Fax: 786-296-3682
Mailing address:
  • Phone: 305-503-6320
  • Fax: 305-503-6329

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME77363
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code2080P0204X
TaxonomyPediatric Emergency Medicine (Pediatrics) Physician
License NumberME77363
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: