| Mesos, LLC | |
|
757 County Road 466 Lady Lake FL 32159-6340 | |
| (352) 259-8599 | |
| (352) 259-8559 |
| Full Name | Mesos, LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 757 County Road 466, Lady Lake, Florida |
| Authorized Official Name and Position | Larry Wayne Blevins (CEO) |
| Authorized Official Contact | 3522598599 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mesos, LLC 757 County Road 466 Lady Lake FL 32159-6340 Ph: (352) 259-8599 | Mesos, LLC 757 County Road 466 Lady Lake FL 32159-6340 Ph: (352) 259-8599 |
| NPI Number | 1033485578 |
|---|---|
| Provider Enumeration Date | 03/29/2012 |
| Last Update Date | 03/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033485578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 606400892 (Florida) | Primary |
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