# RICHARD F MERCADO DPM PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356508683
- **Authorized official:** DR. RICHARD F MERCADO DPM (PRESIDENT)
- **Authorized official phone:** (919) 425-1565

## Contact information

- **Practice address:** 4900 W OAKLAND PARK BLVD, SUITE 107, LAUDERDALE LAKES, FL 33313-7500
- **Practice address phone:** (919) 425-1565
- **Mailing address:** 4900 W OAKLAND PARK BLVD, SUITE 107, LAUDERDALE LAKES, FL 33313-7500
- **Mailing address phone:** (919) 425-1565

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0202X | Diagnostic Radiology Physician | PO2250 | FL | — |
| 213E00000X | Podiatrist | PO2250 | FL | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO2250 | FL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | PO2250 | FL | — |

## Other

- **Enumeration date:** 05/22/2008
- **Last updated:** 06/12/2008