Individual
ANGELA MESA-TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
9120A WILES RD, CORAL SPRINGS, FL 33067-1993
(954) 341-0074
(954) 345-3474
Mailing address
900 S PINE ISLAND RD, SUITE 800, PLANTATION, FL 33324-3920
(954) 341-0074
(954) 345-3474
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9102174
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292467600
—
FL
Enumeration date
09/07/2005
Last updated
04/12/2019
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