Individual
MAXI INEZ MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2903 W NEW HAVEN AVE # 591, MELBOURNE, FL 32904-3661
(321) 872-8443
(321) 621-0036
Mailing address
2903 W NEW HAVEN AVE # 591, MELBOURNE, FL 32904-3661
(321) 872-8443
(321) 621-0036
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11030997
FL
Other
Enumeration date
02/05/2024
Last updated
04/07/2026
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