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Organization
MICHAEL MERCANDETTI MD PA
Active
Organization
MICHAEL MERCANDETTI MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MERCANDETTI M.D. (PHYSICIAN)
(941) 584-4039
Entity
Organization
Contact information
Practice address
1499 E VENICE AVE UNIT B, VENICE, FL 34292-3207
(941) 584-4039
(941) 375-0097
Mailing address
1499 E VENICE AVE UNIT B, VENICE, FL 34292-3207
(941) 584-4039
(941) 375-0097
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
NULL
Other
Enumeration date
03/03/2009
Last updated
04/05/2024
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