| Mesaesthetics & Wellness LLC | |
|
3645 Cortez Rd W Ste 110 Bradenton FL 34210-3161 | |
| (831) 975-6010 | |
| (949) 695-4150 |
| Full Name | Mesaesthetics & Wellness LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 3645 Cortez Rd W Ste 110, Bradenton, Florida |
| Authorized Official Name and Position | Denise Serrano (CREDENTIALING MANAGER) |
| Authorized Official Contact | 3475920841 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mesaesthetics & Wellness LLC 3645 Cortez Rd W Fl 3164 Bradenton FL 34210-3164 Ph: (831) 975-6010 | Mesaesthetics & Wellness LLC 3645 Cortez Rd W Ste 110 Bradenton FL 34210-3161 Ph: (831) 975-6010 |
| NPI Number | 1194589846 |
|---|---|
| Provider Enumeration Date | 02/12/2024 |
| Last Update Date | 02/06/2025 |
| Certification Date | 02/06/2025 |
| Medicare PECOS PAC ID | 7113435975 |
|---|---|
| Medicare Enrollment ID | O20250802000378 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194589846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Nathalia Mesa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942563150 PECOS PAC ID: 1557668795 Enrollment ID: I20200713001387 |
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