Healthcare Provider Details

I. General information

NPI: 1144133216
Provider Name (Legal Business Name): JULIO CESAR MERCADO JR. APRN, FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3625 PFEIFFER FALLS PL
DAVENPORT FL
33837-9803
US

IV. Provider business mailing address

3625 PFEIFFER FALLS PL
DAVENPORT FL
33837-9803
US

V. Phone/Fax

Practice location:
  • Phone: 321-310-8298
  • Fax:
Mailing address:
  • Phone: 321-310-8298
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11051180
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: