Mercado, Michael G

Mercado, Michael G is an individual health care provider with primary practice located at 1002 S Dillard St Suite 102, Winter Garden FL 34787-3991. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mercado, Michael G can be contacted via phone (407) 877-3577.

Contact Information

Primary practice address
1002 S Dillard St Suite 102 Winter Garden FL 34787-3991
Phone: (407) 877-3577
Fax: (407) 877-8495
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME0057046 Florida

Profile Details

NPI number 1558404616
LBN Legal business name Mercado, Michael G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2007
Last updated Nov 15th, 2010 - about 14 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 1558404616 NPPES
Florida MEDICAID 064075100

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