Provider Demographics
NPI:1548989064
Name:MEAUX, MARIA CECILIA (FIRST ASSIST)
Entity type:Individual
Prefix:MS
First Name:MARIA
Middle Name:CECILIA
Last Name:MEAUX
Suffix:
Gender:F
Credentials:FIRST ASSIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1431 MALALUKA ST
Mailing Address - Street 2:
Mailing Address - City:DELTONA
Mailing Address - State:FL
Mailing Address - Zip Code:32725-7464
Mailing Address - Country:US
Mailing Address - Phone:407-712-5758
Mailing Address - Fax:
Practice Address - Street 1:1431 MALALUKA ST
Practice Address - Street 2:
Practice Address - City:DELTONA
Practice Address - State:FL
Practice Address - Zip Code:32725-7464
Practice Address - Country:US
Practice Address - Phone:407-712-5758
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-26
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL205908208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery