MEDICARE: MEAM VISIONS LLC

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	208D00000X	General Practice Physician	ME100524	FL

General Provider Information

NPI Number	:	1710286422
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEAM VISIONS LLC

Provider Business Mailing Address
First Line	:	1180 SPRING CENTRE SOUTH BLVD
Second Line	:	SUITE #112
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32714-1974
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1180 SPRING CENTRE SOUTH BLVD
Second Line	:	SUITE #112
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32714-1974
Country	:	US
Telephone Number	:	407-389-1200
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	DR. MOHAMMAD M ESKANDARI
Credential	:	M.D.
Telephone Number	:	407-389-1200

Provider Enumeration Date	:	03/21/2011
Last Update Date	:	03/21/2011

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