Individual
SANTIAGO MESORANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1431 SW 1ST AVENUE, OCALA, FL 34474
(352) 401-1000
(352) 401-1210
Mailing address
1613 N HARRISON PARKWAY, #200, SUNRISE, FL 33323-2853
(954) 838-2371
(954) 851-1758
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME56115
FL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
ME0056115
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370472600
—
FL
Enumeration date
10/10/2005
Last updated
08/25/2011
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