MEDICARE: DR. MEERA JOSEPH M.D.

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	2084P0800X	Psychiatry Physician	ME124413	FL
2	2084P0805X	Geriatric Psychiatry Physician	ME124413	FL

General Provider Information

NPI Number	:	1255502779
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MEERA JOSEPH M.D.

Provider Business Mailing Address
First Line	:	5220 HOOD RD STE 101
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-8910
Country	:	US
Telephone Number	:	561-639-7992
Fax Number	:	985-214-8254

Provider Business Practice Location Address
First Line	:	5220 HOOD RD STE 101
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-8910
Country	:	US
Telephone Number	:	561-639-7992
Fax Number	:	985-214-8254

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/13/2008
Last Update Date	:	08/01/2024

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