Individual
DR. KARL TQ MERSICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2884 WELLNESS AVE STE 100, ORANGE CITY, FL 32763-8397
(386) 668-2221
(386) 668-2228
Mailing address
2884 WELLNESS AVE STE 100, ORANGE CITY, FL 32763-8397
(386) 668-2221
(386) 668-2228
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
134072
FL
207RG0100X
Gastroenterology Physician
177994-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01252744
—
NY
Enumeration date
09/25/2006
Last updated
02/23/2018
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