| Merit Medical Care Llc | |
|
45 Mcleod St Ste 200 Merritt Island FL 32953-3523 | |
| (321) 452-2016 | |
| Not Available |
| Full Name | Merit Medical Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 45 Mcleod St Ste 200, Merritt Island, Florida |
| Authorized Official Name and Position | San Htut Thiha (OWNER) |
| Authorized Official Contact | 3214522016 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Merit Medical Care Llc 45 Mcleod St Merritt Island FL 32953-3523 Ph: (321) 452-2016 | Merit Medical Care Llc 45 Mcleod St Ste 200 Merritt Island FL 32953-3523 Ph: (321) 452-2016 |
| NPI Number | 1265762819 |
|---|---|
| Provider Enumeration Date | 01/05/2010 |
| Last Update Date | 11/08/2024 |
| Medicare PECOS PAC ID | 4284763566 |
|---|---|
| Medicare Enrollment ID | O20100525000480 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265762819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | San H Thiha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285678995 PECOS PAC ID: 3971516063 Enrollment ID: I20060712000194 |
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