MEDICARE: MERCADODME LLC

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1275470593
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERCADODME LLC

Provider Business Mailing Address
First Line	:	10763 HOBBIT CIR APT 7303
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32836-7667
Country	:	US
Telephone Number	:	201-820-6509
Fax Number	:

Provider Business Practice Location Address
First Line	:	10763 HOBBIT CIR APT 7303
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32836-7667
Country	:	US
Telephone Number	:	201-820-6509
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	GHULAM MUJTABA SHAREEF
Credential	:
Telephone Number	:	201-820-6509

Provider Enumeration Date	:	05/04/2026
Last Update Date	:	05/04/2026

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Directions to “MERCADODME LLC ” Practice Location

Language	Start Address	Practice Location

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