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Individual

MR. ANDRE MERCADO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
10794 PINES BLVD, PEMBROKE PINES, FL 33026-3920
(954) 447-2423
Mailing address
2233 SW 34TH AVE, FORT LAUDERDALE, FL 33312-4341
(305) 335-2616

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 23618
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
650557162
TOTAL ORTHOPAEDIC CARE
FL
Enumeration date
07/26/2013
Last updated
07/26/2013
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