| NPI | 1083912372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANYELEY MESA President 561-541-5405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL AHCA HCC 10316) |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2012-12-06 |