Organization

Mesos, Llc

Clinic/Center in Lady Lake, FL(View on Map)

Legal Business Name

Mesos, Llc

NPI Number

1033485578

NPI Type

Organization

Enumeration Date

03/29/2012

Specialties

(Taxonomies)

Code

261Q00000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

606400892

Contact
Information

Purpose

Mailing
Location

Address

757 COUNTY ROAD 466
757 COUNTY ROAD 466

City

Lady Lake
Lady Lake

State

FL
FL

Postal Code

32159-6340
32159-6340

Country

US
US

Telephone Number

(352) 259-8599
(352) 259-8599

Authorized Official

Name

Larry Blevins

Title or Position

CEO

Telephone Number

(352) 259-8599

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/29/2012

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