Merrell, Dale

Merrell, Dale is an individual health care provider with primary practice located at 3 Shircliff Way Suite 400, Jacksonville FL 32204-4757. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Merrell, Dale can be contacted via phone (904) 381-9393.

Contact Information

Primary practice address
3 Shircliff Way Suite 400 Jacksonville FL 32204-4757
Phone: (904) 381-9393
Fax: (904) 381-9314
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME41515 Florida

Profile Details

NPI number 1871585885
LBN Legal business name Merrell, Dale
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated May 24th, 2011 - about 13 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 1871585885 NPPES
Florida MEDICAID 055680700

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