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NPI Code Detail

MEDICARE: MELINDA MERCADO APRN

MEDICARE: MELINDA MERCADO APRN
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
1363LF0000XFamily Nurse PractitionerAPRN11010047FL

General Provider Information

NPI Number : 1619635703
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELINDA MERCADO APRN
Provider Business Mailing Address
First Line : 716 WALMSLEY ST SW
Second Line :
City : PALM BAY
State : FL
Zip : 32908-3353
Country : US
Telephone Number : 321-522-1124
Fax Number :
Provider Business Practice Location Address
First Line : 1810 ELDRON BLVD SE
Second Line :
City : PALM BAY
State : FL
Zip : 32909-6831
Country : US
Telephone Number : 321-434-3430
Fax Number : 321-434-3432
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2021
Last Update Date : 03/21/2022

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Directions to “ MELINDA MERCADO APRN” Practice Location

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