Individual
JOSE C. MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2120 SW 22ND PL, OCALA, FL 34471-7765
(352) 732-5042
(352) 732-6031
Mailing address
2120 SW 22ND PL, OCALA, FL 34471-7765
(352) 732-5042
(352) 732-6031
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9101754
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291477800
—
FL
Enumeration date
10/04/2006
Last updated
04/18/2017
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