Meza, Manuel B

Meza, Manuel B is an individual health care provider with primary practice located at 1955 Us Highway 1 S Suite C-2, St Augustine FL 32086-3708. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Meza, Manuel B can be contacted via phone (904) 209-6059.

Contact Information

Primary practice address
1955 Us Highway 1 S Suite C-2 St Augustine FL 32086-3708
Phone: (904) 209-6059
Fax: (904) 209-6002
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME75713 Florida

Profile Details

NPI number 1225047079
LBN Legal business name Meza, Manuel B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2006
Last updated Jul 16th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225047079 NPPES
Florida MEDICAID 269962100

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