Individual
LANE JAY MERCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2501 N ORANGE AVE, SUITE 210, ORLANDO, FL 32804-4603
(407) 898-9804
(407) 898-9805
Mailing address
2501 N ORANGE AVE, SUITE 210, ORLANDO, FL 32804-4603
(407) 898-9804
(407) 898-9805
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
ME89606
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49013
BLUE SHIELD CODE
FL
01
—
DF2563
RAILROAD MEDICARE
FL
Enumeration date
06/09/2006
Last updated
12/27/2007
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