Provider Demographics
NPI:1295914075
Name:NEARMAN, MERRILL K (MOT, OTR/L)
Entity type:Individual
Prefix:MR
First Name:MERRILL
Middle Name:K
Last Name:NEARMAN
Suffix:
Gender:M
Credentials:MOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19489 ESTUARY DR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33498-6202
Mailing Address - Country:US
Mailing Address - Phone:561-350-1935
Mailing Address - Fax:
Practice Address - Street 1:19489 ESTUARY DR
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33498-6202
Practice Address - Country:US
Practice Address - Phone:561-350-1935
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-30
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT 9683174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist