Healthcare Provider Details

I. General information

NPI: 1548962004
Provider Name (Legal Business Name): MEERA DHARAMDASANI APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEERA G PATEL APRN

II. Dates (important events)

Enumeration Date: 03/20/2023
Last Update Date: 01/14/2025
Certification Date: 01/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3709 W HAMILTON AVE STE 5
TAMPA FL
33614-4015
US

IV. Provider business mailing address

3709 W HAMILTON AVE STE 5
TAMPA FL
33614-4015
US

V. Phone/Fax

Practice location:
  • Phone: 813-600-3709
  • Fax: 813-644-3307
Mailing address:
  • Phone: 813-600-3709
  • Fax: 813-644-3307

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11025819
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: