Individual
CARLOS MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1307 S INTERNATIONAL PKWY, SUITE 2091, LAKE MARY, FL 32746-1413
(407) 771-0404
(407) 771-0405
Mailing address
1307 S. INTERNATIONAL PKWY, SUITE 2091, LAKE MARY, FL 32746-1414
(407) 771-0404
(407) 771-0405
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME 73229
FL
207QG0300X
Geriatric Medicine (Family Medicine) Physician
ME 73229
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259497800
—
FL
Enumeration date
07/20/2006
Last updated
11/06/2008
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