Healthcare Provider Details

I. General information

NPI: 1770377442
Provider Name (Legal Business Name): MEROMED HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2025
Last Update Date: 04/08/2025
Certification Date: 04/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3156 S UNIVERSITY DR
MIRAMAR FL
33025-3001
US

IV. Provider business mailing address

3156 S UNIVERSITY DR
MIRAMAR FL
33025-3001
US

V. Phone/Fax

Practice location:
  • Phone: 786-487-7754
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JEAN MEROZIER
Title or Position: PRESIDENT
Credential: APRN
Phone: 786-487-7754