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Individual

DEIRDRA MIGUEL MYERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
8430 ENTERPRISE CIR STE 130, LAKEWOOD RANCH, FL 34202-4111
(941) 366-3000
(941) 366-3002
Mailing address
PO BOX 863407, ORLANDO, FL 32886-3407
(941) 917-2600
(941) 917-7884

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD2017-0253
NM
208000000X
Pediatrics Physician
Primary
ME138853
FL

Other

Enumeration date
08/11/2014
Last updated
03/07/2019
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