Provider Demographics
NPI:1639143415
Name:MAIR, MERRI BUFF (MD)
Entity Type:Individual
Prefix:
First Name:MERRI
Middle Name:BUFF
Last Name:MAIR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MERRI
Other - Middle Name:BUFF
Other - Last Name:MANSUR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2326 MESSENGER CIRCLE
Mailing Address - Street 2:
Mailing Address - City:SAFETY HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34695-5521
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10100 DR ML KING JR ST N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33716-3806
Practice Address - Country:US
Practice Address - Phone:727-568-1159
Practice Address - Fax:727-570-9773
Is Sole Proprietor?:No
Enumeration Date:2006-02-16
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0065402207ZB0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZB0001XAllopathic & Osteopathic PhysiciansPathologyBlood Banking & Transfusion Medicine