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Individual

IVAN MERKELJ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5200 NE 2ND AVE, MIAMI, FL 33137-2706
(305) 795-8410
Mailing address
1482 LANTANA CT, WESTON, FL 33326-3606
(954) 659-3129

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME90023
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
U2966Z
PROVIDER ID #
FL
Enumeration date
03/18/2007
Last updated
07/08/2007
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