Individual
JOSE DAVID MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
785 PRIMERA BLVD # 1031, LAKE MARY, FL 32746-2124
(407) 834-8111
Mailing address
785 PRIMERA BLVD STE 1031, LAKE MARY, FL 32746-2124
(407) 834-8111
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME152549
FL
Other
Enumeration date
04/05/2017
Last updated
08/24/2021
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