Individual
DOMISITA MERCADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
15520 GRANBY PL, TAMPA, FL 33624-1584
(813) 390-7375
(813) 269-8822
Mailing address
15520 GRANBY PL, TAMPA, FL 33624-1584
(813) 390-7375
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11591
FL
Other
Enumeration date
05/22/2016
Last updated
05/22/2016
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