Provider Demographics
NPI:1689878142
Name:DAISYMEREYMDPHDPA
Entity Type:Organization
Organization Name:DAISYMEREYMDPHDPA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAISY
Authorized Official - Middle Name:
Authorized Official - Last Name:MEREY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-533-0430
Mailing Address - Street 1:525 S FLAGLER DR
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-5922
Mailing Address - Country:US
Mailing Address - Phone:561-820-1437
Mailing Address - Fax:
Practice Address - Street 1:246 S OCEAN BLVD
Practice Address - Street 2:
Practice Address - City:LANTANA
Practice Address - State:FL
Practice Address - Zip Code:33462-3312
Practice Address - Country:US
Practice Address - Phone:561-533-0430
Practice Address - Fax:561-533-0460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME37967261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service