Specialty Physician Services. LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

SPECIALTY PHYSICIAN SERVICES. LLC

Practice address

3911 SW 67TH Ave
Miami, FL 33155-3710

Phone

(305) 670-7650

NPI assigned

Oct 12, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Antonio Mesa, DONPI 1093717167

Title

Physician

Phone

(305) 670-7650

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Antonio Mesa, D.O.

  • Interventional Pain Medicine Physician
  • Miami, FL
  • NPI 1093717167
  NPD (past) Authorized official
• Michelle L. Dahdah, PA

  • Physician Assistant
  • Miami, FL
  • NPI 1497020945
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1659979706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 SW 67TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553710",
            "telephone_number": "305-670-7650",
            "fax_number": "855-999-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 SW 67TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553710",
            "telephone_number": "305-670-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY PHYSICIAN SERVICES. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-12",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A",
        "authorized_official_last_name": "MESA",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "305-670-7650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Interventional Pain Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Interventional Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.