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NPI Code Detail

MEDICARE: ALIJOHANA MERCADO

MEDICARE:   ALIJOHANA  MERCADO
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
1106S00000XBehavior TechnicianM623-000-91-865-0FL

General Provider Information

NPI Number : 1861155954
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALIJOHANA MERCADO
Provider Business Mailing Address
First Line : 2000 N CONGRESS AVE LOT 248
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33409-6370
Country : US
Telephone Number : 561-360-5518
Fax Number :
Provider Business Practice Location Address
First Line : 2000 N CONGRESS AVE LOT 248
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33409-6370
Country : US
Telephone Number : 561-360-5518
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2021
Last Update Date : 10/16/2021

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Directions to “ ALIJOHANA MERCADO ” Practice Location

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