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NPI Code Detail

MEDICARE: MERLINE SMELLIE BS

MEDICARE:   MERLINE  SMELLIE  BS
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
1104100000XSocial Worker
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1326407230
Entity Type Code : Individual
Provider Name (Legal Business Name) : MERLINE SMELLIE BS
Provider Business Mailing Address
First Line : 5352 NW EAST PADEN CIR
Second Line :
City : PORT SAINT LUCIE
State : FL
Zip : 34986-2740
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5352 NW EAST PADEN CIR
Second Line :
City : PORT SAINT LUCIE
State : FL
Zip : 34986-2740
Country : US
Telephone Number : 772-337-8164
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2016
Last Update Date : 03/05/2024

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Directions to “ MERLINE SMELLIE BS” Practice Location

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