Individual
FERNANDA LIDIA MERCADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
747 PONCE DE LEON BLVD STE 405, CORAL GABLES, FL 33134-2073
(864) 422-1007
(786) 442-2101
Mailing address
747 PONCE DE LEON BLVD STE 405, CORAL GABLES, FL 33134-2073
(864) 422-1007
(864) 422-1017
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME101439
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000340600
—
FL
Enumeration date
04/24/2008
Last updated
03/15/2021
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