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Individual

DR. JUAN JOSE MERCADO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
301 MEMORIAL MEDICAL PKWY, DAYTONA BEACH, FL 32117-5167
(386) 231-3523
Mailing address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
307544
LA
207ZP0101X
Anatomic Pathology Physician
Primary
ME142554
FL

Other

Enumeration date
06/27/2012
Last updated
11/20/2019
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