MEDICARE: MS. BIANCA P. TORRES MERCADO CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SA14862	FL
2	103K00000X	Behavior Analyst	1-24-75490

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407236243
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BIANCA P. TORRES MERCADO CCC-SLP

Provider Business Mailing Address
First Line	:	2049 ESTANCIA CIR UNIT 25A
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34741-6397
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	819 E OAK ST STE A
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34744-5842
Country	:	US
Telephone Number	:	407-913-1010
Fax Number	:	407-992-8697

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2015
Last Update Date	:	02/27/2026

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Directions to “ MS. BIANCA P. TORRES MERCADO CCC-SLP” Practice Location

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