Individual
STEPHEN MICHAEL MERITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
431 W 8TH ST, JACKSONVILLE, FL 32206-4332
(904) 355-1553
(904) 356-7774
Mailing address
431 W 8TH ST, JACKSONVILLE, FL 32206-4332
(904) 355-1553
(904) 356-7774
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO865
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000824854C
—
GA
01
—
480027244
RAILROAD MEDICARE
FL
05
—
FL MCAID
—
FL
Enumeration date
01/25/2006
Last updated
11/09/2007
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