MEDICARE: TAAVI MERI

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	261QR0208X	Mobile Radiology Clinic/Center
2	335V00000X	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	18	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164413290
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TAAVI MERI

Provider Business Mailing Address
First Line	:	PO BOX 4992
Second Line	:
City	:	SEMINOLE
State	:	FL
Zip	:	33775-4992
Country	:	US
Telephone Number	:	941-284-7164
Fax Number	:	877-972-9327

Provider Business Practice Location Address
First Line	:	12512 MONTARA DR
Second Line	:
City	:	LARGO
State	:	FL
Zip	:	33773-2916
Country	:	US
Telephone Number	:	941-284-7164
Fax Number	:	877-972-9327

Authorized Official
Title or Position	:	OWNER
Name	:	TAAVI MERI
Credential	:
Telephone Number	:	941-284-7164

Provider Enumeration Date	:	10/28/2005
Last Update Date	:	08/19/2010

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Directions to “TAAVI MERI ” Practice Location

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