Healthcare Provider Details
I. General information
NPI: 1982923801
Provider Name (Legal Business Name): DAISY MEREY MD PHD PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/18/2010
Last Update Date: 03/29/2023
Certification Date: 03/29/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1411 N FLAGLER DR STE 6000
WEST PALM BEACH FL
33401-3416
US
IV. Provider business mailing address
525 S FLAGLER DR APT 23D
WEST PALM BEACH FL
33401-5901
US
V. Phone/Fax
- Phone: 561-659-6756
- Fax: 561-659-8325
- Phone: 561-659-6756
- Fax: 561-659-8325
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207QB0002X |
| Taxonomy | Obesity Medicine (Family Medicine) Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2083B0002X |
| Taxonomy | Obesity Medicine (Preventive Medicine) Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207QA0505X |
| Taxonomy | Adult Medicine Physician |
| License Number | ME37967 |
| License Number State | FL |
VIII. Authorized Official
Name:
DAISY
MEREY
Title or Position: PHYSICIAN
Credential: MD, PHD, P.A.
Phone: 561-659-6756