Healthcare Provider Details

I. General information

NPI: 1518408459
Provider Name (Legal Business Name): MERCEDES MARIA CASCIO RRT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/11/2017
Last Update Date: 03/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1861 DISCOVERY DR
DEERFIELD BEACH FL
33442-1000
US

IV. Provider business mailing address

1861 DISCOVERY DR
DEERFIELD BEACH FL
33442-1000
US

V. Phone/Fax

Practice location:
  • Phone: 850-567-7774
  • Fax:
Mailing address:
  • Phone: 850-567-7774
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2279H0200X
TaxonomyHome Health Registered Respiratory Therapist
License NumberRT 8489
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: