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Individual

RAYMOND LEE MERRITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1408 N WEST SHORE BLVD STE 260, TAMPA, FL 33607-4590
(813) 753-7891
Mailing address
867 W BLOOMINGDALE AVE UNIT 6813, BRANDON, FL 33508-7035
(706) 399-9276

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS11538
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008781300
FL
01
14PW5
BCBS OF FLORIDA
FL
Enumeration date
05/25/2010
Last updated
02/06/2024
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