Individual
JAIME ALFREDO MERCURIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1735 N TREASURE DR, NORTH BAY VILLAGE, FL 33141-4216
(305) 865-2383
Mailing address
1853 MAYO ST, HOLLYWOOD, FL 33020-6319
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA25397
FL
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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