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Organization
PRIVAMEDIS LLC
Active
Organization
PRIVAMEDIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY JOSEPH MERLINO D.O. (PHYSICIANS / PRESIDENT)
(304) 604-2888
Entity
Organization
Contact information
Practice address
4308 ALTON RD STE 880, MIAMI BEACH, FL 33140-4560
(305) 604-2888
(305) 604-2887
Mailing address
4308 ALTON RD STE 880, MIAMI BEACH, FL 33140-4560
(305) 604-2888
(305) 604-2887
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
INTERNAL MEDCINE
FL
Enumeration date
03/12/2019
Last updated
06/11/2019
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