Individual
CARMEN MERCEDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5768 S SEMORAN BLVD, ORLANDO, FL 32822-4818
(407) 896-2323
Mailing address
8219 DOMINGUIN ST, ORLANDO, FL 32817-2468
(407) 879-7733
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/14/2015
Last updated
08/14/2015
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