Individual
DR. JOHN L MEISENHEIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7300 SANDLAKE COMMONS BLVD, SUITE 105, ORLANDO, FL 32819-8050
(407) 352-2444
(407) 363-2869
Mailing address
7300 SANDLAKE COMMONS BLVD, SUITE 105, ORLANDO, FL 32819-8050
(407) 352-2444
(407) 363-2869
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
ME49727
FL
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
ME49727
FL
207NS0135X
Procedural Dermatology Physician
ME49727
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04058
BCBS PIN
FL
Enumeration date
08/19/2005
Last updated
09/24/2007
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