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Individual
MR. JOHN ANDREW MERRIAM
Active
Individual
MR. JOHN ANDREW MERRIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-S
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
NULL
363AS0400X
Surgical Physician Assistant
Primary
PA9115803
FL
Other
Enumeration date
01/29/2021
Last updated
05/06/2024
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