DR. MERCEDES S. BORROMEO (NPI# 1851432140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851432140 |
Entity Type | Individual |
Full Name | DR. MERCEDES S. BORROMEO |
Credential | MD |
Practice Address |
12196 County Road 512 Fellsmere FL 32948-5463 |
Mailing Address |
1545 9th St Sw Vero Beach FL 32962-4312 |
Practice Telephone | 7722578224 |
Practice Fax Number | 7722133157 |
Mailing Telephone | 7722578224 |
Mailing Fax Number | 7722133157 |
Enumeration Date | 2007-02-09 |
Last Update Date | 2017-02-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
ME52970 | FL | Allopathic & Osteopathic Physicians |
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
ME52970 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | STATE LICENSE | ME52970 | 01 |
Street Address |
12196 COUNTY ROAD 512 |
City | FELLSMERE |
State | FL |
Zip Code | 32948-5463 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306827704 | Humberto Posada | Obstetrics & Gynecology | 12196 County Road 512, Fellsmere, FL 32948-5463 | 2005-11-11 |
1760937627 | Amber Rowe | Dentist | 12196 County Road 512, Fellsmere, FL 32948-5463 | 2016-08-22 |
1891049284 | Lisa Cynthia Hage | Pediatrics | 12196 County Road 512, Fellsmere, FL 32948-5463 | 2012-11-07 |
1457607160 | Anneliese Trull | Physician Assistant | 12196 County Road 512, Fellsmere, FL 32948-5463 | 2012-07-31 |
1265706980 | Regina Therese Larkin | Nurse Practitioner | 12196 County Road 512, Fellsmere, FL 32948-5463 | 2012-02-27 |
1215206081 | Lana Taylor | Social Worker | 12196 County Road 512, Fellsmere, FL 32948-5463 | 2011-12-22 |
1992003099 | Treasure Coast Community Health Inc | Pharmacy | 12196 County Road 512, Fellsmere, FL 32948-5463 | 2011-03-14 |
1558590851 | Cristen Marie Dietz | Dentist | 12196 County Road 512, Fellsmere, FL 32948-5463 | 2009-07-08 |
1477791630 | Vivienne M Clarke | Pediatrics | 12196 County Road 512, Fellsmere, FL 32948-5463 | 2009-01-27 |
1891966719 | Luis Huberto Hernandez Rojas | Nurse Practitioner | 12196 County Road 512, Fellsmere, FL 32948-5463 | 2008-03-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386241404 | Mariela Sanchez | Massage Therapist | 62 Sonrise Sq, Fellsmere, FL 32948-5347 | 2020-10-01 |
1255540902 | Dawn M Fassett | Nursing Care | 65 Sonrise Sq, Apt. 101, Fellsmere, FL 32948-5350 | 2007-05-21 |
1518170653 | Matoga Jones | Licensed Practical Nurse | 66 Sonrise Sq, Fellsmere, FL 32948-5351 | 2007-05-07 |
1619952132 | Linda R Hart | Registered Nurse | 12416 91st St, Fellsmere, FL 32948-5521 | 2005-12-07 |
1487733697 | Lr Hart LLC | Registered Nurse | 12416 91st St, Fellsmere, FL 32948-5521 | 2006-11-06 |
1093266793 | Treasure Coast Community Health Inc | Clinic/Center | 44 N Pine St, Fellsmere, FL 32948-5944 | 2016-10-18 |
1740449511 | Saint Lucie Pediatrics Inc. | Pediatrics | 32 N Broadway St, Fellsmere, FL 32948-6601 | 2008-06-05 |
Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
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1568937894 | D'morffi Family Services, L.l.c | Psychiatry & Neurology | 13475 Southern Blvd Ste 100, Loxahatchee, FL 33470-9233 | 2018-10-13 |
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1952829137 | Child and Adolescent Tampa Bay Psychiatry, LLC | Psychiatry & Neurology | 100 S Ashley Dr Ste 600, Tampa, FL 33602-5300 | 2017-09-07 |
1386183580 | Dr2go, Inc | Psychiatry & Neurology | 8860 Sw 123rd Ct, Miami, FL 33186-4152 | 2017-02-21 |
1851746069 | Hannah Elizabeth Morrissey | Psychiatry & Neurology | University of Florida Psychiatry Residency, 4037 Nw 86th Terrace, Gainesville, FL 32610-0001 | 2016-04-26 |
1891150488 | Tampa Bay Psychiatric Services Pl | Psychiatry & Neurology | 5664 Marquesas Cir, Sarasota, FL 34233-3331 | 2015-12-23 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.