Provider Demographics
NPI:1215148903
Name:MERZ, SHERYL LYNNE (LMT)
Entity type:Individual
Prefix:
First Name:SHERYL
Middle Name:LYNNE
Last Name:MERZ
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1365 DAVIS RD
Mailing Address - Street 2:
Mailing Address - City:DUNEDIN
Mailing Address - State:FL
Mailing Address - Zip Code:34698-5014
Mailing Address - Country:US
Mailing Address - Phone:727-278-8527
Mailing Address - Fax:727-772-2233
Practice Address - Street 1:2130 W BAY DR
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33770-1927
Practice Address - Country:US
Practice Address - Phone:727-278-8527
Practice Address - Fax:727-584-8020
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2013-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMM24352225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLC-1778OtherBCBSOF FLORIDA
FL351526100OtherFL. WORK COMP.