| Entity Name: | CHRISTOPHER J. MESA, M.D., PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 Jan 2019 (6 years ago) |
| Document Number: | L19000012529 |
| FEI/EIN Number | 83-3234837 |
| Address: | 3032 SW 132 CT, MIAMI, FL, 33175 |
| Mail Address: | 3032 SW 132 CT, MIAMI, FL, 33175 |
| ZIP code: | 33175 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851167159 | 2023-11-28 | 2024-09-26 | 2510 SW 27TH AVE STE 101, MIAMI, FL, 331332164, US | 2510 SW 27TH AVE STE 101, MIAMI, FL, 331332164, US | |||||||||||||||||||||||||||||||
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| Phone | +1 786-703-7000 |
| Fax | 7867037777 |
Authorized person
| Name | DR. CHRISTOPHER JORGE MESA |
| Role | MEDICAL DOCTOR /OWNER |
| Phone | 3055107345 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207RR0500X - Rheumatology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAL LICENSES |
| Number | ME149611 |
| State | FL |
| Issuer | MEDICAID |
| Number | 2464400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MESA CHRISTOPHER J | Agent | 3032 SW 132 CT, MIAMI, FL, 33175 |
| Name | Role | Address |
|---|---|---|
| MESA CHRISTOPHER J | Authorized Member | 3032 SW 132 CT, MIAMI, FL, 33175 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-02 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-04-07 |
| ANNUAL REPORT | 2021-03-11 |
| ANNUAL REPORT | 2020-03-20 |
| Florida Limited Liability | 2019-01-14 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
