Provider Demographics
NPI:1275826489
Name:JOHN H. MEREY M.D., P.A.
Entity Type:Organization
Organization Name:JOHN H. MEREY M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPHTHALMOLOGYST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:MEREY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-686-8202
Mailing Address - Street 1:5405 OKEECHOBEE BLVD STE 302B
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33417-4554
Mailing Address - Country:US
Mailing Address - Phone:561-686-8202
Mailing Address - Fax:561-686-7202
Practice Address - Street 1:5405 OKEECHOBEE BLVD STE 302B
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33417-4554
Practice Address - Country:US
Practice Address - Phone:561-686-8202
Practice Address - Fax:561-686-7202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-20
Last Update Date:2011-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME16245174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL050077100Medicaid
FL050077100Medicaid