Individual
MARLENE MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
421 SE OSCEOLA ST, STUART, FL 34994-2505
(772) 286-0338
(772) 287-1139
Mailing address
421 SE OSCEOLA ST, P.O. BOX 868, STUART, FL 34994-2505
(772) 286-0338
(772) 297-1139
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME78422
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47069
BCBS OF FLORIDA
FL
Enumeration date
08/12/2006
Last updated
09/18/2007
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