Individual
TRENE MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
470 KIMBERLY DR, MELBOURNE, FL 32940-7772
(321) 610-3849
Mailing address
470 KIMBERLY DR, MELBOURNE, FL 32940-7772
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
FL
Other
Enumeration date
05/17/2017
Last updated
05/17/2017
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