Provider Demographics
NPI:1750538302
Name:GEIERMAN, MERLE GEORGE JR (LMT)
Entity type:Individual
Prefix:
First Name:MERLE
Middle Name:GEORGE
Last Name:GEIERMAN
Suffix:JR
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:368 LAS PALMAS ST
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-1046
Mailing Address - Country:US
Mailing Address - Phone:954-849-3830
Mailing Address - Fax:
Practice Address - Street 1:368 LAS PALMAS ST
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-1046
Practice Address - Country:US
Practice Address - Phone:954-849-3830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-26
Last Update Date:2008-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA43854171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor