MEDICARE: OLIVIA SUSANNE MERKHOFER

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
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1831020304
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLIVIA SUSANNE MERKHOFER

Provider Business Mailing Address
First Line	:	12086 FORT CAROLINE RD STE 102
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32225-2688
Country	:	US
Telephone Number	:	904-415-1609
Fax Number	:

Provider Business Practice Location Address
First Line	:	12086 FORT CAROLINE RD STE 102
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32225-2688
Country	:	US
Telephone Number	:	904-415-1609
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2026
Last Update Date	:	05/26/2026

Similar Medicare Providers

1871647255 — HIDDEN HILLS FAMILY DENTISTRY
Practice Location Address:

12086 FORT CAROLINE ROAD , SUITE 105
JACKSONVILLE, FL
32225-2688

Practice Phone: 904-807-9127
Practice Fax: 904-807-9129

1831751064 — DR. RACHEL MARIE SCHLOTH DMD
Practice Location Address:

12086 FORT CAROLINE RD STE 105
JACKSONVILLE, FL
32225-2688

Practice Phone: 904-807-9127
Practice Fax:

1407527385 — RUBY BEACH BEHAVIORAL PEDIATRICS LLC
Practice Location Address:

12086 FORT CAROLINE RD STE 102
JACKSONVILLE, FL
32225-2688

Practice Phone: 904-415-1609
Practice Fax: 904-485-8298

1548994486 — JULIA MARRA RBT
Practice Location Address:

12086 FORT CAROLINE RD STE 102
JACKSONVILLE, FL
32225-2688

Practice Phone: 904-415-1609
Practice Fax:

1427782366 — CHARLES PLAUGHER RBT
Practice Location Address:

12086 FORT CAROLINE RD STE 102
JACKSONVILLE, FL
32225-2688

Practice Phone: 904-415-1609
Practice Fax:

1144940560 — ROBERT PEEK III RBT
Practice Location Address:

12086 FORT CAROLINE RD STE 102
JACKSONVILLE, FL
32225-2688

Practice Phone: 904-415-1609
Practice Fax: 904-485-8298

Directions to “ OLIVIA SUSANNE MERKHOFER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.