Individual
MRS. LISA MARIA MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
720 E NEW HAVEN AVE STE 11, MELBOURNE, FL 32901-5474
(321) 724-4545
(321) 728-4168
Mailing address
720 E NEW HAVEN AVE STE 11, MELBOURNE, FL 32901-5474
(321) 724-4545
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11009748
FL
Other
Enumeration date
10/16/2020
Last updated
05/20/2022
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