Eternamd

Organization Ph.D. Medical Genetics · NPI 1508016205

Eternamd provides Ph.D. Medical Genetics in Lake Mary, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in: FL
In the registry since: 2008

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Practice location Address checks out

1307 S International Pkwy Ste #2091
Lake Mary, FL 32746-1413 Not confirmed with CMS for 18 years — call before visiting
Phone: (407) 771-0404
Fax: (407) 771-0405

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ph.D. Medical Genetics (primary)	Taxonomy 170100000X · Licence ME73229 (FL)

Record details

NPI number	1508016205
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Carlos Mercado — Physician · (407) 771-0404
NPI enumerated	September 30, 2008
Last updated in NPPES	September 30, 2008
Mailing address	1307 S International Pkwy, Suite #2091, Lake Mary, FL 32746-1413