Vicente Mercado, PT

NPI #1740404078 in Crescent City, Florida

Provider Information

NPI Number: 1740404078
Entity Type: Individual
Name: Vicente Mercado, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: PT
Enumeration Date: Apr 11, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 405 SOUTH SUMMIT ST.
Address 2: UNIT F
City: Crescent City
State: Florida
ZIP Code: 32112
Phone: (386) 698-4720

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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