Healthcare Provider Details

I. General information

NPI: 1891946471
Provider Name (Legal Business Name): ROBERT J MEURET M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2008
Last Update Date: 05/11/2021
Certification Date: 05/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 N ORANGE AVE SUITE 340
ORLANDO FL
32804-4603
US

IV. Provider business mailing address

2501 N ORANGE AVE SUITE 340
ORLANDO FL
32804-4603
US

V. Phone/Fax

Practice location:
  • Phone: 407-895-8890
  • Fax: 407-895-3608
Mailing address:
  • Phone: 407-895-8890
  • Fax: 407-895-3608

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberTRN11658
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberME113908
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: