Mercado, Carlos

Mercado, Carlos is an individual health care provider with primary practice located at 1307 S International Pkwy Suite 2091, Lake Mary FL 32746-1413. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Mercado, Carlos can be contacted via phone (407) 771-0404.

Contact Information

Primary practice address
1307 S International Pkwy Suite 2091 Lake Mary FL 32746-1413
Phone: (407) 771-0404
Fax: (407) 771-0405
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME 73229 Florida
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X ME 73229 Florida

Profile Details

NPI number 1033139100
LBN Legal business name Mercado, Carlos
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Nov 6th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033139100 NPPES
Florida MEDICAID 259497800

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