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1104201268
OMRI MEROSE
MIAMI, FL
NPI
1104201268
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: FL TRN#21182)
Enumeration Date
2015-07-29
Last Update Date
2015-07-29
Business Address
Dr. OMRI MEROSE M.D
1611 NW 12TH AVE
MIAMI, FL 33136-1005
Phone number: 305-689-4581
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Mailing Address
Dr. OMRI MEROSE M.D
1400 NW 12TH AVE
MIAMI, FL 33136-1003
Phone number: 305-689-4581
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