Individual
MISS JADA MICHELLE MERRITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4836 S US HIGHWAY 1, FORT PIERCE, FL 34982-7013
(772) 501-2123
Mailing address
4836 S US HIGHWAY 1, FORT PIERCE, FL 34982-7013
(772) 577-6783
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003014400
—
FL
Enumeration date
10/25/2017
Last updated
06/18/2020
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