Search › Florida › 106S00000X
Channel Mesa
NPI 1760263701 · on the registry since 2023 · sole proprietor
Practice
- Address
- 12611 Sw 6th St # 51
Davie, FL 33325 - Phone
- (954) 298-2607
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-10-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida