Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | PO 2250 | FL |
N | 213ES0103X | Foot & Ankle Surgery | PO 2250 | FL |
NPI | 1427038538 |
---|---|
Provider Name | Dr. Richard Florian Mercado |
First Address | Miami, FL 33165-2082 |
Second Address | Miami, FL 33165-2082 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2006 |
Last Update Date | 12/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
390085100 | (05) | FL |
U41245 | (02) |