Organization
DPN USA LLC
Active
Other names
HealthFair
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXIS MEGEATH (VICE PRESIDENT, STRATEGIC OPS)
(480) 356-0885
Entity
Organization
Contact information
Practice address
1030 SPRING VILLAS PT STE 3000, WINTER SPRINGS, FL 32708-6621
(480) 862-1677
(480) 718-7643
Mailing address
1890 STATE ROAD 436, SUITE 319, WINTER PARK, FL 32792-2228
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
261QR0208X
Mobile Radiology Clinic/Center
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/13/2014
Last updated
05/01/2018
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