Individual
MEIR DALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14320 METROPOLIS AVE STE 1, FORT MYERS, FL 33912-4539
(239) 277-5770
(239) 985-1911
Mailing address
14320 METROPOLIS AVE, STE 1, FORT MYERS, FL 33912-4539
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME87876
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3789195
CIGNA PROVIDER #
FL
01
—
7532470
AETNA PROVIDER #
FL
01
—
78653
BCBS OF FL PROVIDER #
FL
Enumeration date
08/13/2006
Last updated
02/11/2020
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