MEDICARE: CRYSTAL MERCED

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	106S00000X	Behavior Technician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538711973
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRYSTAL MERCED

Provider Business Mailing Address
First Line	:	11396 WHISTLING PINE WAY
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32832-6002
Country	:	US
Telephone Number	:	718-313-7161
Fax Number	:

Provider Business Practice Location Address
First Line	:	11396 WHISTLING PINE WAY
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32832-6002
Country	:	US
Telephone Number	:	718-313-7161
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/16/2019
Last Update Date	:	07/16/2019

Similar Medicare Providers

1780036087 — ZARANA UPADHYAY LMHC, QS
Practice Location Address:

911 N ORANGE AVE APT 417
ORLANDO, FL
32801-6002

Practice Phone: 561-906-8325
Practice Fax:

1902479298 — ERIKA W STRICKLEN
Practice Location Address:

6002 MAUSSER DRIVE , APT D
ORLANDO, FL
32822

Practice Phone:
Practice Fax:

1366135543 — MRS. ALEXANDRA NATALEE RAICES APRN
Practice Location Address:

6002 PEREGRINE AVE
ORLANDO, FL
32819-7520

Practice Phone: 407-687-4851
Practice Fax:

1487547618 — ALEXANDRA RAY WOOD LCSW
Practice Location Address:

12021 PIONEERS WAY APT 1411
ORLANDO, FL
32832-2805

Practice Phone: 813-340-5707
Practice Fax:

1184569717 — RESTORA CLINICAL PLLC
Practice Location Address:

13563 NARCOOSSEE RD STE 110
ORLANDO, FL
32832-7138

Practice Phone: 407-730-4240
Practice Fax:

1659216075 — GENESIS VALENTINA GONZALEZ
Practice Location Address:

10920 MOSS PARK RD STE 130
ORLANDO, FL
32832-6087

Practice Phone: 407-930-4339
Practice Fax:

Directions to “ CRYSTAL MERCED ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.