Individual
KERVENS MERISMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 NW 106TH ST, MIAMI, FL 33150-1064
(786) 603-6960
Mailing address
1100 NW 106TH ST, MIAMI, FL 33150-1064
(786) 603-6960
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11043840
FL
Other
Enumeration date
11/24/2025
Last updated
11/24/2025
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