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Dr. Theata Jeanne Merritt, NURSEPRACTITIONER
Family Nurse Practitioner in Tampa, Florida
NPI 1538146824

Theata Jeanne Merritt is a Family Nurse Practitioner based in Tampa, FL and is specialized in Family. Theata Jeanne Merritt practices in Tampa, FL and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Theata Jeanne Merritt is 1538146824 and holds a License No. 416522 (Florida).

The current practice location address for Theata Jeanne Merritt is 4902 Oakshire Dr, Tampa, FL and can be reached out via phone at 813-963-1779 and via fax at 813-903-7831.

Location: 4902 Oakshire Dr, Tampa, FL, 33625-6615
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Provider Profile Details
NPI Number
1538146824
Provider Name
Theata Jeanne Merritt
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
4902 Oakshire Dr, Tampa, FL, 33625-6615
Phone Number
813-963-1779
Fax Number
813-903-7831
Provider Enumeration Date
12/28/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3022552 00 05 FL
institution
Provider Business Practice Location Address Details
Address
4902 Oakshire Dr
City
State
Zip
33625-6615
Phone Number
813-963-1779
Fax Number
813-903-7831
person
Provider Business Mailing Address Details
Address
4902 Oakshire Dr
City
State
Zip
33625-6615
Phone Number
813-963-1779
Fax Number
813-903-7831
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
416522 (Florida)
Definition
Definition to come...
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