Individual
MICHAEL ANTHONY MERREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC, LMT, NREMT
Contact information
Practice address
7332 NEWHALL PASS LN, WESLEY CHAPEL, FL 33545-8263
(201) 674-8062
Mailing address
7332 NEWHALL PASS LN, WESLEY CHAPEL, FL 33545-8263
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL3817
FL
225700000X
Massage Therapist
MA87773
FL
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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