MEDICARE: DAN H. MEIRSON, M.D., P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	ME60050	FL
2	207ND0101X	MOHS-Micrographic Surgery Physician	ME60050	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013287713
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAN H. MEIRSON, M.D., P.A.

Provider Business Mailing Address
First Line	:	1166 WEST NEWPORT CENTER DRIVE
Second Line	:	SUITE 100
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33442-7739
Country	:	US
Telephone Number	:	954-782-7701
Fax Number	:	954-782-9596

Provider Business Practice Location Address
First Line	:	1166 WEST NEWPORT CENTER DRIVE
Second Line	:	SUITE 100
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33442-7739
Country	:	US
Telephone Number	:	954-782-7701
Fax Number	:	954-782-9596

Authorized Official
Title or Position	:	M.D./CEO
Name	:	DR. DAN HOWARD MEIRSON
Credential	:	M.D.
Telephone Number	:	954-782-7701

Provider Enumeration Date	:	01/11/2012
Last Update Date	:	03/02/2015

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