Meyzgan Amin
Individual provider Active NPI Dentist · Debary, FL
NPI 1063191971 · NPPES record last updated Jul 26, 2023
Key facts
- NPI
- 1063191971
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DN28204 (FL)
- Practice address
- 415 Summerhaven Dr
Debary, FL 32713-2716 - Phone
- (312) 478-5729
- NPI assigned
- Jul 17, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN28204 | FL | MD | Dentist |
Networks
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN28204 | FL | Yes |
Addresses
Primary practice location
415 Summerhaven Dr
Debary, FL 32713-2716
Mailing address
1564 Peace Lily Way
Oviedo, FL 32765-2014
Phone (312) 478-5729
Other providers in Debary, FL
- Abdullah Aljabban
- All Care Chiropractic & Wellness Center
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- American Doula Association
- Amg Rehab Solutions LLC
- Antonio Cubano, M.D., P.a.
- Art of Therapy Counseling & Consulting Group, LLC
- Casey Lynn Attenberger
- Avalon Massage & Body Works Inc.
- Yosleidys Baez Perez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.