Dr. Audrey Anna Merrill, MD
Pediatrics in Orlando, FL. Individual provider (NPI-1).
NPI number1205410099
StatusActive
Last updated in NPPESAug 15, 2024
Details
- NPI
- 1205410099
- Entity type
- Individual (NPI-1)
- Name
- Dr. Audrey Anna Merrill
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 8, 2021
- Certification date
- Aug 15, 2024
- Last updated
- Aug 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | ME169879 | FL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
601 E Rollins StOrlando, FL 32803-1248
Phone 321-863-1908
Mailing address
1400 W State Road 434 Ste 1010Longwood, FL 32750-3817
Phone 407-644-9970
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