Healthcare Provider Details

I. General information

NPI: 1366326613
Provider Name (Legal Business Name): ALERA WOUND SOLUTIONS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2025
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25200 SAWYER FRANCIS LN STE 128
LUTZ FL
33559-6947
US

IV. Provider business mailing address

25200 SAWYER FRANCIS LN STE 128
LUTZ FL
33559-6947
US

V. Phone/Fax

Practice location:
  • Phone: 714-683-2970
  • Fax:
Mailing address:
  • Phone: 714-683-2970
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: RONNIEL MERCADO
Title or Position: PRESIDENT
Credential: MD
Phone: 714-683-2970