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Organization
INTERVENTIONAL NEUROLOGY
Active
Organization
INTERVENTIONAL NEUROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO MESA D.O. (DOCTOR)
(305) 670-7650
Entity
Organization
Contact information
Practice address
11880 SW 40TH ST, SUITE 18, MIAMI, FL 33175-3574
(305) 670-7650
(305) 670-7657
Mailing address
PO BOX 43-1405, SOUTH MIAMI, FL 33243-1405
(305) 670-7650
(305) 670-7657
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
OS8711
FL
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
Primary
OS8711
FL
Other
Enumeration date
05/18/2007
Last updated
10/27/2007
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