Merlin Wound Care Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

MERLIN WOUND CARE INC

Practice address

19380 Collins Ave Apt 1122B
Sunny Isl BCH, FL 33160-2237

Phone

(940) 382-5230

NPI assigned

Jan 30, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Spero Theodorou, MD

Title

Owner

Phone

(940) 382-5230

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391040000000",
    "number": "1154744910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19380 COLLINS AVE APT 1122B",
            "city": "SUNNY ISL BCH",
            "state": "FL",
            "postal_code": "331602237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19380 COLLINS AVE APT 1122B",
            "city": "SUNNY ISL BCH",
            "state": "FL",
            "postal_code": "331602237",
            "telephone_number": "940-382-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERLIN WOUND CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-30",
        "last_updated": "2014-01-30",
        "status": "A",
        "authorized_official_last_name": "THEODOROU",
        "authorized_official_first_name": "SPERO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-382-5230",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Sunny Isl BCH, FL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.