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Organization
VICKI M MERRICK DC PA
Active
Organization
VICKI M MERRICK DC PA
Active
Other names
Sub S Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICKI M MERRICK DC (PRESIDENT)
(321) 952-7004
Entity
Organization
Contact information
Practice address
2060 PALM BAY RD NE, SUITE #2, PALM BAY, FL 32905-2931
(321) 952-7004
(321) 952-1004
Mailing address
PO BOX 100246, PALM BAY, FL 32910-0246
(321) 952-7004
(321) 952-1004
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH5958
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
267605
STAYWELL HEALTHEASE
FL
Enumeration date
04/03/2006
Last updated
01/02/2008
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