Individual
DR. VIRGINIA Y. MESA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
855 CAMP RD, COCOA, FL 32927-3709
(321) 634-6092
Mailing address
855 CAMP RD, COCOA, FL 32927-3709
(321) 634-6092
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME 75065
FL
Other
Enumeration date
03/16/2011
Last updated
03/16/2011
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