| Merritt-titus Pa | |
|
1855 Knox Mcrae Dr Titusville FL 32780-5492 | |
| (321) 269-2028 | |
| (321) 267-8814 |
| Full Name | Merritt-titus Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1855 Knox Mcrae Dr, Titusville, Florida |
| Authorized Official Name and Position | Anthony Kinsella (OWNER/PHYSICIAN) |
| Authorized Official Contact | 3212692028 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Merritt-titus Pa 1855 Knox Mcrae Dr Titusville FL 32780-5492 Ph: (321) 269-2028 | Merritt-titus Pa 1855 Knox Mcrae Dr Titusville FL 32780-5492 Ph: (321) 269-2028 |
| NPI Number | 1619927464 |
|---|---|
| Provider Enumeration Date | 05/11/2006 |
| Last Update Date | 04/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619927464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME0044271 (Florida) | Primary |
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