Individual
IGMARIE MERCADO HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3961 SW GREENWOOD WAY APT E, PALM CITY, FL 34990-4646
(787) 515-0605
Mailing address
3961 SW GREENWOOD WAY APT E, PALM CITY, FL 34990-4646
(787) 515-0605
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
10213
FL
235Z00000X
Speech-Language Pathologist
Primary
SA20776
FL
Other
Enumeration date
02/25/2022
Last updated
07/10/2023
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