Eternamd

NPI #1508016205 in Lake Mary, Florida

Provider Information

NPI Number
1508016205
Entity Type
Organization
Organization Name
Eternamd
Primary Specialty
Medical Genetics, Ph.D. Medical Genetics
Enumeration Date
Sep 30, 2008
Last Updated
Sep 30, 2008

Practice Location

Address
1307 S INTERNATIONAL PKWY
Address 2
SUITE #2091
State
Florida
ZIP Code
32746-1413
Phone
(407) 771-0404

Authorized Official

Name
DR. CARLOS E MERCADO, M.D.
Title
PHYSICIAN
Phone
(407) 771-0404

Specialties & Taxonomy Codes

Specialty
Medical Genetics, Ph.D. Medical Genetics

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