Provider Demographics
NPI:1093883282
Name:RICHARD F MERZER MD PA
Entity Type:Organization
Organization Name:RICHARD F MERZER MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAUNDERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-967-1801
Mailing Address - Street 1:5511 S CONGRESS AVE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33462-1140
Mailing Address - Country:US
Mailing Address - Phone:561-967-1801
Mailing Address - Fax:561-439-6357
Practice Address - Street 1:5511 S CONGRESS AVE
Practice Address - Street 2:SUITE 105
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33462-1140
Practice Address - Country:US
Practice Address - Phone:561-967-1801
Practice Address - Fax:561-439-6357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-04
Last Update Date:2008-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0050803207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL16155AOtherCAREPLUS
FL7432082OtherAETNA
FL16155AOtherCAREPLUS