Mariam Merayo Godo, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN28735 Issued in FL

Practice address

4921 State Road 674
Wimauma, FL 33598-3534

Phone

(813) 819-3254

NPI assigned

May 9, 2023

Last updated

Jan 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Comfortable Care Dental Health Professionals, P.a.

  dba Wimauma Dental Care

  • General Practice Dentistry
  • Wimauma, FL
  • NPI 1316566078
  NPD

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1174213607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11810 THICKET WOOD DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335794306",
            "telephone_number": "502-533-1821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4921 STATE ROAD 674",
            "city": "WIMAUMA",
            "state": "FL",
            "postal_code": "335983534",
            "telephone_number": "813-819-3254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERAYO GODO",
        "first_name": "MARIAM",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-09",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "10953",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN28735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Massari, MD
• Dianna McCullough
• Med-Surg Pas Inc (Wimauma Family Health Center)
• Melissa Help Me With LLC
• Patricia Melo
• Mindful Peace Counseling Services
• Kevin Nicholas Morgan, MD
• Monette Louise Moss, PT
• Amber Mullins, LCSW
• Vinoth Muthalagappan, DPM

• Dentist in Wimauma, FL
• Providers in Wimauma, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.