Greg J. Mercurio, MD, PA
Internal Medicine in New Smyrna Beach, FL. Organization (NPI-2).
NPI number1053508283
StatusActive
Last updated in NPPESMay 4, 2020
Details
- NPI
- 1053508283
- Entity type
- Organization (NPI-2)
- Legal business name
- Greg J. Mercurio, MD, PA
- Organization subpart
- No
- Enumeration date
- Oct 2, 2007
- Certification date
- May 4, 2020
- Last updated
- May 4, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | ME0060051 | FL | Yes |
Other names
- Causeway Medical (Doing Business As)
Practice location
1720 State Road 44New Smyrna Beach, FL 32168-8339
Phone 386-427-8008 · Fax 386-402-4309
Mailing address
1720 State Road 44New Smyrna Beach, FL 32168-8339
Phone 386-427-8008 · Fax 386-423-0355
Authorized official
Gregory James Mercurio
President
3864278008
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