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NPI Code Detail

MEDICARE: DR. THOMAS J MERRILL DPM

MEDICARE:  DR. THOMAS J MERRILL  DPM
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
1213ES0103XFoot & Ankle Surgery PodiatristPO1902FL

General Provider Information

NPI Number : 1497742530
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS J MERRILL DPM
Provider Business Mailing Address
First Line : 893 NE 125TH ST
Second Line :
City : NORTH MIAMI
State : FL
Zip : 33161-5711
Country : US
Telephone Number : 305-892-0818
Fax Number : 305-892-2916
Provider Business Practice Location Address
First Line : 3659 S MIAMI AVE
Second Line : BARRY UNIVERSITY FOOT & ANKLE INSTITUTE, SUITE # 3008
City : MIAMI
State : FL
Zip : 33133-4227
Country : US
Telephone Number : 305-859-7777
Fax Number : 305-859-7444
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2005
Last Update Date : 09/28/2015

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Directions to “ DR. THOMAS J MERRILL DPM” Practice Location

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