Free National NPI Number Registry
Michael Mercandetti
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NPI Number Detailed Information
Provider Information:
| Name: | Michael Mercandetti |
| Gender: | M |
| Provider License Number If Given: | ME64173 |
NPI Information:
| NPI: | 1669471959 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 7/19/2005 |
| Last Update Date: | 10/1/2014 |
Provider Business Mailing Address:
| Address: | 5824 BEE RIDGE RD PMB 447 Sarasota, FL 34233 |
| Phone Number: | 9414887117 |
| Fax Number: | 9414882370 |
Provider Business Practice Location Address:
| Address: | 1499 E VENICE AVE Venice, FL 34292 |
| Phone Number: | 9414887117 |
| Fax Number: | 9414882370 |
Provider Taxonomy:
| Primary: | 207W00000X |
| Secondary (if any): | |
| State: | FL |
