Provider Demographics
NPI:1811217060
Name:MERCURIO, DANIELLE CLAIRE (DO)
Entity Type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:CLAIRE
Last Name:MERCURIO
Suffix:
Gender:F
Credentials:DO
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Other - Credentials:
Mailing Address - Street 1:501 6TH AVE S
Mailing Address - Street 2:ALL CHILDREN'S HOSPITAL EMERGENCY DEPARTMENT
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-4634
Mailing Address - Country:US
Mailing Address - Phone:727-767-8480
Mailing Address - Fax:727-767-8420
Practice Address - Street 1:501 6TH AVE S
Practice Address - Street 2:ALL CHILDREN'S HOSPITAL EMERGENCY DEPARTMENT
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-4634
Practice Address - Country:US
Practice Address - Phone:727-767-8480
Practice Address - Fax:727-767-8420
Is Sole Proprietor?:No
Enumeration Date:2010-06-09
Last Update Date:2017-11-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOS14495207PP0204X
PAOT013635208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Yes207PP0204XAllopathic & Osteopathic PhysiciansEmergency MedicinePediatric Emergency Medicine