Provider Demographics
NPI:1346211422
Name:MERZER, RICHARD FRANKLIN (MD)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:FRANKLIN
Last Name:MERZER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3243 NW 62ND LN
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33496-3395
Mailing Address - Country:US
Mailing Address - Phone:561-998-4668
Mailing Address - Fax:
Practice Address - Street 1:5511 S CONGRESS AVE
Practice Address - Street 2:SUITE105
Practice Address - City:ATLANTIS
Practice Address - State:FL
Practice Address - Zip Code:33462-1140
Practice Address - Country:US
Practice Address - Phone:561-967-1801
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2008-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME50803207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1016155OtherCAREPLUS
FL03877OtherBC BS PROVIDER ID
FL000726538003OtherUNITED HEALTHCARE
FL0493423OtherCIGNA
FL4505279OtherAETNA
FL4505279OtherAETNA
FL000726538003OtherUNITED HEALTHCARE