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NPI Code Detail

MEDICARE: NEREYSIS MESA ELIAS

MEDICARE:   NEREYSIS  MESA ELIAS
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
1363LF0000XFamily Nurse PractitionerF04260199FL

General Provider Information

NPI Number : 1568305779
Entity Type Code : Individual
Provider Name (Legal Business Name) : NEREYSIS MESA ELIAS
Provider Business Mailing Address
First Line : 8000 WEST DR APT 611
Second Line :
City : NORTH BAY VILLAGE
State : FL
Zip : 33141-5783
Country : US
Telephone Number : 786-709-2723
Fax Number :
Provider Business Practice Location Address
First Line : 8000 WEST DR APT 611
Second Line :
City : NORTH BAY VILLAGE
State : FL
Zip : 33141-5783
Country : US
Telephone Number : 786-709-2723
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2026
Last Update Date : 04/13/2026

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Directions to “ NEREYSIS MESA ELIAS ” Practice Location

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