MEDICARE: MARIAN D MERCED

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	SZ13205	FL
2	222Q00000X	Developmental Therapist

General Provider Information

NPI Number	:	1699264358
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIAN D MERCED

Provider Business Mailing Address
First Line	:	352 COLUMBO ST
Second Line	:
City	:	WINTER HAVEN
State	:	FL
Zip	:	33880-5514
Country	:	US
Telephone Number	:	863-307-8718
Fax Number	:

Provider Business Practice Location Address
First Line	:	7512 CYPRESS GARDENS BLVD
Second Line	:
City	:	WINTER HAVEN
State	:	FL
Zip	:	33884-3200
Country	:	US
Telephone Number	:	407-452-9651
Fax Number	:

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

Provider Enumeration Date	:	05/08/2018
Last Update Date	:	02/12/2026

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Directions to “ MARIAN D MERCED ” Practice Location

Language	Start Address	Practice Location

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