Individual
MR. NELSON JOEL MERCED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3105 W WATERS AVE STE 212, TAMPA, FL 33614-2873
(813) 932-3013
Mailing address
417 HAMMERSTONE AVE, HAINES CITY, FL 33844-6306
(863) 353-1413
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
M623-630-83-296-0
FL
Other
Enumeration date
03/06/2009
Last updated
03/06/2009
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