Provider Demographics
NPI:1295435691
Name:TORRES-MERCADO, CORA-ANN (APRN)
Entity type:Individual
Prefix:
First Name:CORA-ANN
Middle Name:
Last Name:TORRES-MERCADO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5834 SW 172ND LOOP
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34473-4668
Mailing Address - Country:US
Mailing Address - Phone:352-653-7425
Mailing Address - Fax:
Practice Address - Street 1:9401 SW HIGHWAY 200 STE 2004
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34481-9619
Practice Address - Country:US
Practice Address - Phone:352-897-0063
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-06
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11025067363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily