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NPI Code Detail

MEDICARE: ANGELA MESA-TAYLOR PA C

MEDICARE: ANGELA MESA-TAYLOR PA C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician AssistantPA9102174FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316931108
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA MESA-TAYLOR PA C
Provider Business Mailing Address
First Line : 900 S PINE ISLAND RD
Second Line : SUITE 800
City : PLANTATION
State : FL
Zip : 33324-3920
Country : US
Telephone Number : 954-341-0074
Fax Number : 954-345-3474
Provider Business Practice Location Address
First Line : 9120A WILES RD
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33067-1993
Country : US
Telephone Number : 954-341-0074
Fax Number : 954-345-3474
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2005
Last Update Date : 04/12/2019

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Directions to “ ANGELA MESA-TAYLOR PA C” Practice Location

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