Provider Demographics
NPI:1912887902
Name:MERCADO CARDONA, CHRISTOPHER LUIS (DC)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:LUIS
Last Name:MERCADO CARDONA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2115 PRADO DR
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:FL
Mailing Address - Zip Code:33896-5815
Mailing Address - Country:US
Mailing Address - Phone:787-214-2157
Mailing Address - Fax:
Practice Address - Street 1:608 S HUNT CLUB BLVD
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-4958
Practice Address - Country:US
Practice Address - Phone:407-597-7463
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH15592111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor