Individual
LISA MERCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-4923
(352) 265-5911
(352) 265-5606
Mailing address
PO BOX 100186, GAINESVILLE, FL 32610-0186
(352) 265-5911
(352) 265-5606
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
061606
GA
207P00000X
Emergency Medicine Physician
2007-00734
NC
207P00000X
Emergency Medicine Physician
MD13829
RI
207P00000X
Emergency Medicine Physician
Primary
ME140522
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104314200
—
FL
Enumeration date
05/21/2007
Last updated
04/06/2021
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