Individual
DR. MANUEL B MEZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1955 US HIGHWAY 1 S, SUITE C-2, ST AUGUSTINE, FL 32086-3708
(904) 209-6059
(904) 209-6002
Mailing address
1955 US HIGHWAY 1 S, SUITE C-2, ST AUGUSTINE, FL 32086-3708
(904) 209-6059
(904) 209-6002
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME75713
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269962100
—
FL
Enumeration date
08/07/2006
Last updated
07/16/2007
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