Provider Demographics
NPI:1326031113
Name:EPSTEIN, MERRILL H (MD)
Entity Type:Individual
Prefix:
First Name:MERRILL
Middle Name:H
Last Name:EPSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4800 N FEDERAL HWY
Mailing Address - Street 2:SUITE A205
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-5176
Mailing Address - Country:US
Mailing Address - Phone:561-368-3388
Mailing Address - Fax:561-620-3090
Practice Address - Street 1:4800 N FEDERAL HWY
Practice Address - Street 2:SUITE A205
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-5176
Practice Address - Country:US
Practice Address - Phone:561-368-3388
Practice Address - Fax:561-620-3090
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-26
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00345832084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
D63410Medicare UPIN
FL95310ZMedicare PIN