Individual
EDGARDO MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
5534 GULF DR, SUITE 1, NEW PORT RICHEY, FL 34652-4000
(727) 847-3992
(727) 848-1118
Mailing address
5534 GULF DR, SUITE 1, NEW PORT RICHEY, FL 34652-4000
(727) 847-1383
(727) 848-1118
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2453
FL
Other
Enumeration date
10/14/2005
Last updated
06/02/2010
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