Mesa-Taylor, Angela
Mesa-Taylor, Angela is an individual health care provider with primary practice located at 9120A Wiles Rd , Coral Springs FL 33067-1993. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Mesa-Taylor, Angela can be contacted via phone (954) 341-0074.Contact Information
Primary practice address
9120A Wiles Rd
Coral Springs FL 33067-1993
Phone: (954) 341-0074
Fax: (954) 345-3474
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA9102174 | Florida |
Profile Details
| NPI number | 1316931108 |
|---|---|
| LBN Legal business name | Mesa-Taylor, Angela |
| Credentials | PA C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2005 |
| Last updated | Apr 12th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316931108 | NPPES |
| Florida | MEDICAID | 292467600 |
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