MEDICARE: MESK MEDICAL GROUP

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	363LP2300X	Primary Care Nurse Practitioner
2	101YM0800X	Mental Health Counselor
3	363L00000X	Nurse Practitioner
4	103TH0100X	Health Service Psychologist
5	207R00000X	Internal Medicine Physician
6	2084A0401X	Addiction Medicine (Psychiatry & Neurology) Physician
7	207Q00000X	Family Medicine Physician
8	101YA0400X	Addiction (Substance Use Disorder) Counselor
9	363LF0000X	Family Nurse Practitioner
10	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
11	363LA2200X	Adult Health Nurse Practitioner
12	363A00000X	Physician Assistant
13	207QS0010X	Sports Medicine (Family Medicine) Physician
14	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1518740109
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MESK MEDICAL GROUP

Provider Business Mailing Address
First Line	:	450 S ORANGE AVE FL 3
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32801-3394
Country	:	US
Telephone Number	:	407-305-3791
Fax Number	:

Provider Business Practice Location Address
First Line	:	450 S ORANGE AVE FL 3
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32801-3394
Country	:	US
Telephone Number	:	407-305-3791
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. RALPH UGARTE
Credential	:
Telephone Number	:	407-305-3791

Provider Enumeration Date	:	08/16/2023
Last Update Date	:	01/14/2026

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Directions to “MESK MEDICAL GROUP ” Practice Location

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