Organization
INTEGRATIVE SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLYN BETH MESSERE M.D. (PHYSICIAN)
(786) 522-9968
Entity
Organization
Contact information
Practice address
4302 ALTON RD, SUITE 105, MIAMI BEACH, FL 33140-2891
(786) 522-9968
(305) 571-7838
Mailing address
PO BOX 403506, MIAMI BEACH, FL 33140-1506
(786) 522-9968
(305) 571-7838
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
ME93472
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273556300
—
FL
Enumeration date
12/11/2009
Last updated
08/03/2010
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