Provider Demographics
NPI:1275914517
Name:MERMINGAS, STYLIANOS (MED)
Entity Type:Individual
Prefix:
First Name:STYLIANOS
Middle Name:
Last Name:MERMINGAS
Suffix:
Gender:M
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11029 LEGACY BLVD
Mailing Address - Street 2:APT. 201
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-3619
Mailing Address - Country:US
Mailing Address - Phone:561-727-0551
Mailing Address - Fax:
Practice Address - Street 1:11029 LEGACY BLVD
Practice Address - Street 2:APT. 201
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-3619
Practice Address - Country:US
Practice Address - Phone:561-727-0551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-12
Last Update Date:2015-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health