MEDICARE: ZACHEE MERISIER

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	172A00000X	Driver

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	:	1528390655
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZACHEE MERISIER

Provider Business Mailing Address
First Line	:	3220 LINDELL AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33610-7862
Country	:	US
Telephone Number	:	813-732-2350
Fax Number	:

Provider Business Practice Location Address
First Line	:	3220 LINDELL AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33610-7862
Country	:	US
Telephone Number	:	813-732-2350
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2010
Last Update Date	:	08/21/2019

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Directions to “ ZACHEE MERISIER ” Practice Location

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