Individual
FURVA MERCHANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28300 FRANKLIN RD STE 100, SOUTHFIELD, MI 48034-1657
(248) 973-3660
Mailing address
6981 PIAZZA ST, ORLANDO, FL 32819-5289
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601009727
MI
363A00000X
Physician Assistant
PA9106826
FL
Other
Enumeration date
03/12/2013
Last updated
12/03/2020
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