MEDICARE: FELIX MESTAS M.D.

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	207R00000X	Internal Medicine Physician	ME0043446	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

General Provider Information

NPI Number	:	1184607962
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FELIX MESTAS M.D.

Provider Business Mailing Address
First Line	:	PO BOX 2147
Second Line	:
City	:	FT MYERS
State	:	FL
Zip	:	33902-2147
Country	:	US
Telephone Number	:	239-541-4420
Fax Number	:	239-541-4421

Provider Business Practice Location Address
First Line	:	507 CAPE CORAL PKWY E
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33904-8545
Country	:	US
Telephone Number	:	239-541-4420
Fax Number	:	239-541-4421

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

Provider Enumeration Date	:	11/25/2005
Last Update Date	:	03/30/2021

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