Organization
ETERNAMD
Active
Organization
ETERNAMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS E MERCADO M.D. (PHYSICIAN)
(407) 771-0404
Entity
Organization
Contact information
Practice address
1307 S INTERNATIONAL PKWY, SUITE #2091, LAKE MARY, FL 32746-1413
(407) 771-0404
(407) 771-0405
Mailing address
1307 S INTERNATIONAL PKWY, SUITE #2091, LAKE MARY, FL 32746-1413
(407) 771-0404
(407) 771-0405
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
ME73229
FL
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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