| NPI | 1356508683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD F MERCADO President 919-425-1565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO2250) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL PO2250) |
| 213E00000X Podiatrist (Licence: FL PO2250) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL PO2250) | |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-06-12 |