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Individual
MR. ANGEL PETER MERCADO
Active
Individual
MR. ANGEL PETER MERCADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
014992
NY
363A00000X
Physician Assistant
Primary
PA9114261
FL
Other
Enumeration date
08/13/2011
Last updated
08/13/2021
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