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Individual

MS. THERESA P. MERRILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
7820 TAMIAMI TRL S STE B, VENICE, FL 34293-5120
(941) 861-3300
(941) 861-2719
Mailing address
PO BOX 2658, SARASOTA, FL 34230-2658
(941) 861-3300
(941) 861-2719

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN 9171853
FL

Other

Enumeration date
08/11/2009
Last updated
08/11/2009
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