Individual
DR. AUDREY ANNA MERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(321) 863-1908
Mailing address
1400 W STATE ROAD 434 STE 1010, LONGWOOD, FL 32750-3817
(407) 644-9970
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME169879
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/08/2021
Last updated
08/15/2024
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