Mercer, Connie K.

Mercer, Connie K. is an individual health care provider with primary practice located at 201 Lagrande Blvd , Lady Lake FL 32159-1303. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mercer, Connie K. can be contacted via phone (352) 753-0606.

Contact Information

Primary practice address
201 Lagrande Blvd Lady Lake FL 32159-1303
Phone: (352) 753-0606
Fax: (352) 753-0650
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME69236 Florida

Profile Details

NPI number 1730128034
LBN Legal business name Mercer, Connie K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Feb 6th, 2023 - about 3 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 1730128034 NPPES
Florida Other 080112357 RAILROAD MEDICARE NUMBER
Florida MEDICAID 257176500 RAILROAD MEDICARE NUMBER

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