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NPI Code Detail

MEDICARE: DINA MARIE MERCADANTE LMHC

MEDICARE: DINA MARIE MERCADANTE LMHC
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
1101YM0800XMental Health CounselorMH6883FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12121956659001OTHERFLBEECHSTREET PROVIDER #
2258983OTHERFLCOMPSYCH PROVIDER #
3Z002VOTHERFLBCBS PROVIDER #
4238680OTHERFLAMERIGROUP PROVIDER #

General Provider Information

NPI Number : 1992715353
Entity Type Code : Individual
Provider Name (Legal Business Name) : DINA MARIE MERCADANTE LMHC
Provider Business Mailing Address
First Line : 2328 MANATEE AVE W
Second Line :
City : BRADENTON
State : FL
Zip : 34205-4957
Country : US
Telephone Number : 941-744-0933
Fax Number :
Provider Business Practice Location Address
First Line : 2328 MANATEE AVE W
Second Line :
City : BRADENTON
State : FL
Zip : 34205-5432
Country : US
Telephone Number : 941-744-0933
Fax Number : 941-747-1093
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2006
Last Update Date : 05/06/2015

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Directions to “ DINA MARIE MERCADANTE LMHC” Practice Location

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