Individual
AMELIA MESA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1860 SE PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34952-5545
(305) 588-0106
Mailing address
1860 SE PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34952-5545
(305) 588-0106
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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