Organization
MESOS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY WAYNE BLEVINS PA (CEO)
(352) 259-8599
Entity
Organization
Contact information
Practice address
757 COUNTY ROAD 466, LADY LAKE, FL 32159-6340
(352) 259-8599
(352) 259-8559
Mailing address
757 COUNTY ROAD 466, LADY LAKE, FL 32159-6340
(352) 259-8599
(352) 259-8559
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
606400892
FL
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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