Individual
MEERA GOPAL IYENGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1340 N HANCOCK ROAD, CLERMONT, FL 34711-5931
(352) 394-1150
(352) 394-1560
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
(239) 278-3350
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
ME119000
FL
207RX0202X
Medical Oncology Physician
Primary
ME119000
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010924300
—
FL
Enumeration date
06/04/2008
Last updated
02/13/2023
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