Individual
CALEB E MERCADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.C.C.
Contact information
Practice address
1723 LUCERNE TER STE 100, ORLANDO, FL 32806-2916
(407) 738-4200
Mailing address
1723 LUCERNE TER STE 100, ORLANDO, FL 32806-2916
(407) 738-4200
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME65144
FL
207RI0011X
Interventional Cardiology Physician
Primary
ME65144
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009792100
—
FL
Enumeration date
08/05/2006
Last updated
11/28/2023
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