Provider Demographics
NPI:1508206921
Name:MERATI, MIESHA (DO)
Entity type:Individual
Prefix:
First Name:MIESHA
Middle Name:
Last Name:MERATI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4770 BISCAYNE BLVD STE 900
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-3232
Mailing Address - Country:US
Mailing Address - Phone:305-404-3376
Mailing Address - Fax:305-404-6367
Practice Address - Street 1:4770 BISCAYNE BLVD STE 900
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-3232
Practice Address - Country:US
Practice Address - Phone:305-404-3376
Practice Address - Fax:305-404-6367
Is Sole Proprietor?:No
Enumeration Date:2013-06-29
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS17863207ND0101X, 207N00000X
OH34.013438207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
No207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology