Provider Demographics
NPI:1427400720
Name:MEROZIER, JEAN BERTRAND (APRN)
Entity Type:Individual
Prefix:
First Name:JEAN
Middle Name:BERTRAND
Last Name:MEROZIER
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3156 S UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-3001
Mailing Address - Country:US
Mailing Address - Phone:754-217-3929
Mailing Address - Fax:754-217-3931
Practice Address - Street 1:3156 S UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025-3001
Practice Address - Country:US
Practice Address - Phone:754-217-3929
Practice Address - Fax:754-217-3931
Is Sole Proprietor?:No
Enumeration Date:2016-07-11
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9328438363L00000X
FL9328438363LP0808X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health