Provider Demographics
NPI:1003407172
Name:MERCEDES ENCARNACION, TORIBIO (MD)
Entity Type:Individual
Prefix:
First Name:TORIBIO
Middle Name:
Last Name:MERCEDES ENCARNACION
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5400 PINEHURST DR
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34606-3833
Mailing Address - Country:US
Mailing Address - Phone:352-277-5305
Mailing Address - Fax:352-616-0926
Practice Address - Street 1:401 N CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:INVERNESS
Practice Address - State:FL
Practice Address - Zip Code:34453-3838
Practice Address - Country:US
Practice Address - Phone:352-419-6526
Practice Address - Fax:352-616-0952
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-01
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR022175208D00000X
FLACN1377208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice