Individual
EVA MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2933 SW PRINCE RD, PORT ST LUCIE, FL 34953-4260
(772) 785-6185
Mailing address
PO BOX 12492, FORT PIERCE, FL 34979-2492
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9235360
FL
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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