| Luis J Mesa Md Pa | |
|
1250 E Hallandale Beach Blvd # 205a Hallandale Beach FL 33009-4634 | |
| (954) 544-5979 | |
| (954) 404-7296 |
| Full Name | Luis J Mesa Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1250 E Hallandale Beach Blvd # 205a, Hallandale Beach, Florida |
| Authorized Official Name and Position | Luis J Mesa Correa (OWNER) |
| Authorized Official Contact | 3053187056 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Luis J Mesa Md Pa 1250 E Hallandale Beach Blvd # 205a Hallandale Beach FL 33009-4634 Ph: (954) 544-5979 | Luis J Mesa Md Pa 1250 E Hallandale Beach Blvd # 205a Hallandale Beach FL 33009-4634 Ph: (954) 544-5979 |
| NPI Number | 1154048049 |
|---|---|
| Provider Enumeration Date | 10/21/2022 |
| Last Update Date | 08/07/2023 |
| Medicare PECOS PAC ID | 6709254485 |
|---|---|
| Medicare Enrollment ID | O20221130003012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154048049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Luis J Mesa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649292707 PECOS PAC ID: 4587638937 Enrollment ID: I20221201000953 |
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