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Organization
GREG J. MERCURIO, MD, PA
Active
Organization
GREG J. MERCURIO, MD, PA
Active
Other names
Causeway Medical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY JAMES MERCURIO MD (PRESIDENT)
(386) 427-8008
Entity
Organization
Contact information
Practice address
1720 STATE ROAD 44, NEW SMYRNA BEACH, FL 32168-8339
(386) 427-8008
(386) 402-4309
Mailing address
1720 STATE ROAD 44, NEW SMYRNA BEACH, FL 32168-8339
(386) 427-8008
(386) 423-0355
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0060051
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC6447
RR MEDICARE
FL
Enumeration date
10/02/2007
Last updated
05/04/2020
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