| Doctor Name: | DR. OSCAR MANUEL MERIDA |
| NPI Number: | 1376551663 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | ME32167 |
| Business Practice Address: | 12200 Menta St. Suite 107 Orlando, FL - 328377841 |
| Business Phone Number: | 4078572817 |
| Business Fax Number: | 4078570234 |
| Mailing Address: | 12200 Menta St, Suite 107 ORLANDO |
| State: | FL |
| Postal Code: | 328377540 |
| Phone Number: | 4078572817 |
| Fax Number: | 4078570234 |
| NPI Enumeration Date: | 08/03/2006 |
| NPI Last Update Date: | 03/24/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME32167 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |