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NPI Code Detail

MEDICARE: MEREDITH ANNETTE FISHER LICENSED MIDWIFE

MEDICARE: MEREDITH ANNETTE FISHER LICENSED MIDWIFE
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
1176B00000XMidwifeMW467FL

General Provider Information

NPI Number : 1649028721
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEREDITH ANNETTE FISHER LICENSED MIDWIFE
Provider Business Mailing Address
First Line : 6244 SWEETWATER DR W
Second Line :
City : LAKELAND
State : FL
Zip : 33811-1921
Country : US
Telephone Number : 863-608-3730
Fax Number :
Provider Business Practice Location Address
First Line : 1525 EDGEWATER BEACH DR
Second Line :
City : LAKELAND
State : FL
Zip : 33805-4737
Country : US
Telephone Number : 863-680-2229
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2024
Last Update Date : 05/13/2024

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Directions to “ MEREDITH ANNETTE FISHER LICENSED MIDWIFE” Practice Location

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