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Individual

DR. MICHAEL A MYERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5534 GULF DR, SUITE 1, NEW PORT RICHEY, FL 34652-4000
(727) 847-3992
(727) 848-1118
Mailing address
5534 GULF DR, SUITE 1, NEW PORT RICHEY, FL 34652-4000
(727) 847-3992
(727) 848-1118

Taxonomy

Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
ME0030364
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04928
WELLCARE
FL
05
058995100
FL
01
2017767
AETNA
FL
01
241992
AVMED
FL
01
406073190
RAILROAD MEDICARE
FL
01
51087
BLUE CROSS BLUE SHIELD
FL
01
591798817
HUMANA
FL
01
8550571-002
CIGNA
FL
Enumeration date
07/28/2005
Last updated
06/02/2010
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