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General NPI Number Information
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NPI Number | 1811991797
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Entity Type | Individual
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Provider Name | JEFFREY P MEYER MD
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Gender | Male
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Dates
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Enumeration Date | 06/09/2005
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Last Update Date | 11/29/2017
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Provider Practice Location Address
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Address Line | 4600 SE 29TH ST SUITE 750
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City | DEL CITY
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State | OK
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Zip | 73115-3406
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Country | US
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Telephone | 405-733-5900
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Fax | 405-733-5905
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Provider Business Mailing Address
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Address Line | 4730 N HABANA AVE STE 204
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City | TAMPA
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State | FL
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Zip | 33614-7148
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Country | US
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Telephone | 813-549-2134
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Fax | 813-864-4436
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 23469
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 193400000X
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Taxonomy Name | Single Specialty Group
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License Number | 22920
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License Number State | NE
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