MEDICARE: JEAN MERCIUS M.S

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	101Y00000X	Counselor

General Provider Information

NPI Number	:	1528389418
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEAN MERCIUS M.S

Provider Business Mailing Address
First Line	:	PO BOX 530092
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33403
Country	:	US
Telephone Number	:	561-598-2150
Fax Number	:

Provider Business Practice Location Address
First Line	:	1489 N MILITARY TRL
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-6029
Country	:	US
Telephone Number	:	561-693-5299
Fax Number	:	561-615-0065

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

Provider Enumeration Date	:	06/15/2010
Last Update Date	:	10/21/2014

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Directions to “ JEAN MERCIUS M.S” Practice Location

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