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Individual

DR. LUIS JAVIER MESA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
21110 BISCAYNE BOULEVARD, SUITE 405, AVENTURA, FL 33180-1227
(305) 937-4400
(305) 931-5625
Mailing address
21110 BISCAYNE BOULEVARD, SUITE 405, AVENTURA, FL 33180-1227
(305) 937-4400
(305) 931-5625

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0090288
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
274475900
FL
Enumeration date
07/24/2006
Last updated
05/16/2008
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