Provider Demographics
NPI:1952119927
Name:MERVIL, GUERDENS
Entity type:Individual
Prefix:
First Name:GUERDENS
Middle Name:
Last Name:MERVIL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2855 W COMMERCIAL BLVD APT 218
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309-2975
Mailing Address - Country:US
Mailing Address - Phone:980-262-9875
Mailing Address - Fax:
Practice Address - Street 1:2855 W COMMERCIAL BLVD APT 218
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-2975
Practice Address - Country:US
Practice Address - Phone:980-262-9875
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-23
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter