Individual
MEERU DEVAN FENDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1949 NORTHGATE BLVD, SARASOTA, FL 34234-2143
(941) 373-7844
(941) 373-7856
Mailing address
700 8TH AVE W, STE 101, PALMETTO, FL 34221-4737
(941) 776-4008
(941) 845-4963
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA3677
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251641100
—
FL
01
—
32315
BCBS
FL
Enumeration date
03/11/2006
Last updated
03/24/2017
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