Individual
AMIZADAY MARIE MERCADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
10741 NW 29TH CT, SUNRISE, FL 33322-1017
(954) 793-1342
Mailing address
10741 NW 29TH CT, SUNRISE, FL 33322-1017
(954) 793-1342
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA52668
FL
Other
Enumeration date
12/05/2008
Last updated
12/05/2008
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