Individual
MEGAN DAWN INDERMAUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2191 9TH AVE N STE 120, ST PETERSBURG, FL 33713-7147
(727) 826-0795
(727) 258-4863
Mailing address
PO BOX 748817, ATLANTA, GA 30374-8817
(813) 286-0033
(813) 282-1806
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
ME 95893
FL
207VX0201X
Gynecologic Oncology Physician
Primary
ME95893
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276133500
—
FL
01
—
56551
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/13/2006
Last updated
06/23/2023
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