Individual
CAROLINA MERCADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10200 NW 25TH ST # A-108, DORAL, FL 33172-5921
(786) 717-5649
Mailing address
12823 SW 71ST LN, MIAMI, FL 33183-2442
(305) 988-2415
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SI5294
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
X
—
FL
Enumeration date
04/01/2022
Last updated
04/01/2022
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