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DR. MERCEDES S. BORROMEO MD
Child & Adolescent Psychiatry >> Psychiatry & Neurology >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1851432140
Individual Registrant:DR. MERCEDES S. BORROMEO MD
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
12196 COUNTY ROAD 512 FELLSMERE, FL 32948-5463 US
Tel: 772-257-8224 Fax: 772-213-3157
Tel: 772-257-8224 Fax: 772-213-3157
Contact information for business:
1545 9TH ST SW VERO BEACH, FL 32962-4312 US
Tel: 772-257-8224 Fax: 772-213-3157
Tel: 772-257-8224 Fax: 772-213-3157
Registration Information:
NPI: 1851432140
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 2084P0804X | Allopathic & Osteopathic Physicians Psychiatry & Neurology Child & Adolescent Psychiatry | FL | ME52970 |
| N | 2084P0800X | Allopathic & Osteopathic Physicians Psychiatry & Neurology | FL | ME52970 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| STATE LICENSE | ME52970 | FL | 01 |
