Organization
MERIDA PROFESSIONAL SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIDIA E MANTILLA (PRESIDENT)
(239) 267-1943
Entity
Organization
Contact information
Practice address
9280 COLLEGE PKWY, UNIT 6, FORT MYERS, FL 33919-4848
(239) 267-1943
Mailing address
9280 COLLEGE PKWY, UNIT 6, FORT MYERS, FL 33919-4848
(239) 267-1943
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/23/2006
Last updated
08/22/2020
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