Individual
CHOTSANI MERRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
781 DAVENPORT ST SE, PALM BAY, FL 32909
(321) 987-0515
Mailing address
781 DAVENPORT ST SE, PALM BAY, FL 32909-6556
(321) 987-0515
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
240820
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
240820
CNA
FL
Enumeration date
08/21/2017
Last updated
07/21/2022
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