Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kyle Merritt

Individual provider Surgical Physician Assistant · NPI 1689940934

Kyle Merritt is a Physician Assistant in Lakeland, Florida. Qualified in 2011, 15 years ago. Practices with Chukwuka C Okafor, MD, MBA, PA, a 5-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
15
Licensed in
FL
In the registry since
2012
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Practice location Address checks out

1818 Harden Blvd Ste 120
Lakeland, FL 33803-1812
Phone: (239) 278-1155
Fax: (239) 278-1159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA9106424 (FL)

Record details

NPI number1689940934
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 30, 2012
Last updated in NPPESMarch 30, 2012
Mailing address1818 Harden Blvd, Suite 120, Lakeland, FL 33803-1812

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Chukwuka C Okafor, Md, Mba, Pa — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lakeland