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Organization
MESA MEDICAL LLC
Active
Organization
MESA MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGEL R MESA M.D. (DOCTOR)
(561) 766-2373
Entity
Organization
Contact information
Practice address
1870 FOREST HILL BLVD, WEST PALM BEACH, FL 33406-6057
(561) 766-2373
(561) 766-2615
Mailing address
1870 FOREST HILL BLVD, STE 101, WEST PALM BEACH, FL 33406-6057
(561) 766-2373
(561) 766-2615
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME99661
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279227300
—
FL
Enumeration date
06/17/2014
Last updated
06/17/2014
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