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:
Health care specialties
Specialty | Code | License # | 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 last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1730128034 | NPPES |
Florida | Other | 080112357 | RAILROAD MEDICARE NUMBER |
Florida | MEDICAID | 257176500 | RAILROAD MEDICARE NUMBER |
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