Healthcare Provider Details

I. General information

NPI: 1407795263
Provider Name (Legal Business Name): DR. KENDALL ANNE MERRILL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/29/2026
Certification Date: 03/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

604 COURTLAND ST STE 280
ORLANDO FL
32804-1361
US

IV. Provider business mailing address

604 COURTLAND ST STE 280
ORLANDO FL
32804-1361
US

V. Phone/Fax

Practice location:
  • Phone: 407-853-4829
  • Fax:
Mailing address:
  • Phone: 407-853-4829
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH15838
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: