Merlox Haven LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MERLOX HAVEN LLC

Practice address

1653 Regal Oak Dr
Kissimmee, FL 34744-6644

Phone

(407) 334-6169

Fax

(407) 350-4613

NPI assigned

Aug 5, 2014

Organization subpart

No

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

Authorized official

Name

Merita Thomas MasonNPI 1508104563

Title

Administrator

Phone

(718) 344-3828

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Merita Thomas Mason

  • Family Nurse Practitioner
  • Kissimmee, FL
  • NPI 1508104563
  NPD Authorized official
• Christopher A Smith, MD

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1790064863

  Single Specialty

  NPD

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573084800000",
    "number": "1962811760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3151 GRANADA BLVD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347463699",
            "telephone_number": "407-201-4012",
            "fax_number": "407-910-4549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1653 REGAL OAK DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347446644",
            "telephone_number": "407-334-6169",
            "fax_number": "407-350-4613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3151 Granada Blvd",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347463699",
            "country_code": "US",
            "telephone_number": "407-201-4012",
            "fax_number": "407-910-4549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MERLOX HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-05",
        "last_updated": "2019-11-07",
        "status": "A",
        "authorized_official_last_name": "THOMAS MASON",
        "authorized_official_first_name": "MERITA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-344-3828"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12291",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kruti Merchant, DO
• Valeria Mercucci Roman
• Aaron Benjamin Meredith
• Bryan Josue Merino
• Vanessa Lizbeth Meritil, RBT
• Stephanie Merrill
• Neasha Merritt, MD
• Juan Pablo Meruvia Garron, DO
• Yunet Mesias
• Marie Fanfan Mesidor

• Clinic/Center in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.