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Organization
MERAKI MEDICAL CENTER LLC
Active
Organization
MERAKI MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYDIA ARVELO (CREDENTIALING SPECIALIST)
(954) 998-7574
Entity
Organization
Contact information
Practice address
12565 ORANGE DR STE 401, DAVIE, FL 33330-4305
(954) 998-7574
(954) 251-4846
Mailing address
12565 ORANGE DR STE 401, DAVIE, FL 33330-4305
(954) 998-7574
(954) 251-4846
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207RN0300X
Nephrology Physician
—
—
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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