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Individual

MERVIN REID

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
12401 ORANGE DR, SUITE 219, DAVIE, FL 33330-4341
(954) 862-1707
Mailing address
6720 NW 20TH ST, MARGATE, FL 33063-2104
(954) 803-3405

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
08/22/2011
Last updated
08/22/2011
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