Fendt, Meeru Devan

Fendt, Meeru Devan is an individual health care provider with primary practice located at 1949 Northgate Blvd , Sarasota FL 34234-2143. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Fendt, Meeru Devan can be contacted via phone (941) 373-7844.

Contact Information

Primary practice address
1949 Northgate Blvd Sarasota FL 34234-2143
Fax: (941) 373-7856
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA3677 Florida

Profile Details

NPI number 1417925751
LBN Legal business name Fendt, Meeru Devan
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2006
Last updated Mar 24th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417925751 NPPES
Florida Other 32315 BCBS
Florida MEDICAID 251641100 BCBS

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