Mercury Enterprises, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MERCURY ENTERPRISES, INC.

Practice address

11300 49TH St N
Clearwater, FL 33762-4807

Phone

(727) 573-7689

Fax

(727) 456-1997

NPI assigned

Dec 28, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Stanley G Tangalakis

Title

Chairman / Ceo

Phone

(727) 573-7689

Specialties & licenses 2

Addresses

Other identifiers 7

Other names 1

• MERCURY MEDICAL Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240963200000",
    "number": "1417934688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11300 49TH ST N",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337624807",
            "telephone_number": "727-573-7689",
            "fax_number": "727-456-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11300 49TH ST N",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337624807",
            "telephone_number": "727-573-7689",
            "fax_number": "727-456-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCURY ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2009-04-29",
        "status": "A",
        "authorized_official_last_name": "TANGALAKIS",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CHAIRMAN / CEO",
        "authorized_official_telephone_number": "727-573-7689",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP HEALTH PLANS",
            "identifier": "202211",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "679647803",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "R0247",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027564600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CITRUS HEALTH PLANS",
            "identifier": "10481101",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "679647898",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "679647896",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MERCURY MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mario A Mercado Seda, CST/CSFA
• Jatharine Mercado, LMHC
• Nathalia Mercado
• Faisal Merchant, M.D.
• Vanessa Mercier, APRN
• Ivan Andrew Mericle, D.D.S.
• Jay Mermelstein, M.D.
• Lynne E Merriam, MSN - ARNP-C
• Katie Merricks
• Meshbesher Health Corporation

• Durable Medical Equipment & Medical Supplies in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.