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Individual

IGMARIE MERCADO HERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
3634 SW SUNSET TRACE CIR, PALM CITY, FL 34990-3028
(787) 515-0605
Mailing address
3634 SW SUNSET TRACE CIR, PALM CITY, FL 34990-3028
(787) 515-0605

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
10213
FL
235Z00000X
Speech-Language Pathologist
Primary
SA20776
FL
235Z00000X
Speech-Language Pathologist
SP36017
CA

Other

Enumeration date
02/25/2022
Last updated
06/23/2026
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