Meritt, Stephen Michael

Meritt, Stephen Michael is an individual health care provider with primary practice located at 431 W 8Th St , Jacksonville FL 32206-4332. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Meritt, Stephen Michael can be contacted via phone (904) 355-1553.

Contact Information

Primary practice address
431 W 8Th St Jacksonville FL 32206-4332
Phone: (904) 355-1553
Fax: (904) 356-7774
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO865 Florida

Profile Details

NPI number 1396715801
LBN Legal business name Meritt, Stephen Michael
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Nov 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396715801 NPPES
Florida MEDICAID FL MCAID
Florida MEDICAID 000824854C
Florida Other 480027244

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