Organization
RICHARD F MERCADO DPM PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD F MERCADO DPM (PRESIDENT)
(919) 425-1565
Entity
Organization
Contact information
Practice address
4900 W OAKLAND PARK BLVD, SUITE 107, LAUDERDALE LAKES, FL 33313-7500
(919) 425-1565
Mailing address
4900 W OAKLAND PARK BLVD, SUITE 107, LAUDERDALE LAKES, FL 33313-7500
(919) 425-1565
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
PO2250
FL
213E00000X
Podiatrist
PO2250
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO2250
FL
332B00000X
Durable Medical Equipment & Medical Supplies
PO2250
FL
Other
Enumeration date
05/22/2008
Last updated
06/12/2008
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