Healthcare Provider Details

I. General information

NPI: 1578564878
Provider Name (Legal Business Name): MEESE TOLLAND RITTER & WILLIAMS MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 12/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 MEMORIAL CIR SUITE H
ORMOND BEACH FL
32174-5059
US

IV. Provider business mailing address

550 MEMORIAL CIR SUITE H
ORMOND BEACH FL
32174-5059
US

V. Phone/Fax

Practice location:
  • Phone: 386-672-0017
  • Fax: 386-676-0506
Mailing address:
  • Phone: 386-672-0017
  • Fax: 386-676-0506

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID L MEESE
Title or Position: SURGEON
Credential: MD
Phone: 386-672-0017