MEDICARE: DR. ADRIAN L MESA DNP, PMHNP-BC, FNP

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN9250921	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1386062305
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ADRIAN L MESA DNP, PMHNP-BC, FNP

Provider Business Mailing Address
First Line	:	2464 SW 22ND ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33145-3419
Country	:	US
Telephone Number	:	305-204-9355
Fax Number	:	305-640-8034

Provider Business Practice Location Address
First Line	:	2464 SW 22ND ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33145-3419
Country	:	US
Telephone Number	:	305-204-9355
Fax Number	:	305-640-8034

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/07/2014
Last Update Date	:	02/23/2026

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