Individual
AXEL LUIS MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
2130 FOREST HILLS RD W STE B, WILSON, NC 27893-3681
(252) 237-2700
(252) 237-5034
Mailing address
128 LANGDON POINTE DR, GARNER, NC 27529
(305) 278-8304
(252) 237-5034
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-10047
NC
363A00000X
Physician Assistant
Primary
PA3322
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291219800
—
FL
01
—
P00129654
RAILROAD MEDICARE
—
Enumeration date
07/05/2006
Last updated
03/03/2026
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