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NPI Code Detail

MEDICARE: MERLIN ARDON

MEDICARE:   MERLIN  ARDON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPRN11029427FL
2363LF0000XFamily Nurse Practitioner95021148CA

General Provider Information

NPI Number : 1730676412
Entity Type Code : Individual
Provider Name (Legal Business Name) : MERLIN ARDON
Provider Business Mailing Address
First Line : 425 W COLONIAL DR STE 303
Second Line :
City : ORLANDO
State : FL
Zip : 32804-6863
Country : US
Telephone Number : 321-635-2190
Fax Number :
Provider Business Practice Location Address
First Line : 3240 S FLORIDA AVE STE 101
Second Line :
City : LAKELAND
State : FL
Zip : 33803-4574
Country : US
Telephone Number : 863-644-7337
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2018
Last Update Date : 04/20/2026

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Directions to “ MERLIN ARDON ” Practice Location

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