Healthcare Provider Details

I. General information

NPI: 1043359243
Provider Name (Legal Business Name): MERCY CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

356 N CENTRAL AVE
UMATILLA FL
32784-8649
US

IV. Provider business mailing address

356 N CENTRAL AVE
UMATILLA FL
32784-8649
US

V. Phone/Fax

Practice location:
  • Phone: 352-669-9009
  • Fax: 353-669-9004
Mailing address:
  • Phone: 352-669-9009
  • Fax: 353-669-9004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberME24732
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA2079
License Number StateFL

VIII. Authorized Official

Name: JOSEPH G RAUCH
Title or Position: OWNER
Credential: M.D.
Phone: 352-669-9009