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Organization
WEST ORANGE FAMILY MEDICAL CARE,PA
Active
Organization
WEST ORANGE FAMILY MEDICAL CARE,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL G MERCADO MD (OWNER)
(407) 877-3577
Entity
Organization
Contact information
Practice address
1002 S DILLARD ST, SUITE 102, WINTER GARDEN, FL 34787
(407) 877-3577
Mailing address
1002 S DILLARD ST, SUITE 102, WINTER GARDEN, FL 34787
(407) 877-3577
(407) 877-8495
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37138700
—
FL
Enumeration date
10/05/2006
Last updated
03/26/2014
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