Individual
JACQUELINE MEYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3644 INNOVATION DR, LAKELAND, FL 33812-4105
(863) 687-1100
Mailing address
1324 LAKELAND HILLS BLVD, MANAGED CARE DEPT, LAKELAND, FL 33805
(863) 687-1100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9113268
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9113268
FL
Other
Enumeration date
08/13/2019
Last updated
08/19/2024
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