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Individual

MR. ANGEL PETER MERCADO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT

Contact information

Practice address
5155 CORPORATE WAY STE A, JUPITER, FL 33458
(561) 624-0123
(561) 624-1453
Mailing address
5155 CORPORATE WAY STE A, JUPITER, FL 33458-4359
(561) 624-0123
(561) 624-1453

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
014992
NY
363A00000X
Physician Assistant
Primary
PA9114261
FL

Other

Enumeration date
08/13/2011
Last updated
08/13/2021
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