Healthcare Provider Details

I. General information

NPI: 1417536038
Provider Name (Legal Business Name): MEERA NAGARSHETH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2021
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2221 SE OCEAN BLVD STE 100
STUART FL
34996-3341
US

IV. Provider business mailing address

2221 SE OCEAN BLVD STE 100
STUART FL
34996-3341
US

V. Phone/Fax

Practice location:
  • Phone: 772-283-4428
  • Fax:
Mailing address:
  • Phone: 772-283-4428
  • Fax: 772-288-0192

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberLP05388
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number4301511418
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME179049
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: