| NPI | 1417165101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO MESA Doctor 305-670-7650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: FL OS8711) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL OS8711) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2007-10-27 |