Individual
KOANAKI MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4224 W GULF TO LAKE HWY, LECANTO, FL 34461-9215
(352) 513-3482
(352) 513-3489
Mailing address
7720 N CREEK WAY, CITRUS SPRINGS, FL 34434-6907
(727) 858-1838
(727) 858-1838
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN9512859
FL
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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