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Individual

DR. MERRICK DAVID ELIAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
4610 N FEDERAL HWY, FORT LAUDERDALE, FL 33308-5206
(954) 771-0582
(954) 771-6465
Mailing address
4610 N FEDERAL HWY, FORT LAUDERDALE, FL 33308-5206
(954) 771-0582
(954) 771-6465

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
229435
NY
207N00000X
Dermatology Physician
Primary
OS 8762
FL
207NP0225X
Pediatric Dermatology Physician
229435
NY
207NP0225X
Pediatric Dermatology Physician
OS 8762
FL
207NS0135X
Procedural Dermatology Physician
229435
NY
207NS0135X
Procedural Dermatology Physician
OS 8762
FL

Other

Enumeration date
05/12/2007
Last updated
03/20/2015
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