Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Interventional Neurology

Organization Neurology Physician · NPI 1417165101

Interventional Neurology provides Neurology Physician services in Miami, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
Specialties on file
2

Practice location Address checks out

11880 SW 40th St Ste 18
Miami, FL 33175-3574 Not confirmed with CMS for 19 years — call before visiting
Phone: (305) 670-7650
Fax: (305) 670-7657
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Psychiatry & Neurology) Physician (primary) Taxonomy 2084P2900X · Licence OS8711 (FL)
Neurology Physician Taxonomy 2084N0400X · Licence OS8711 (FL)

Record details

NPI number1417165101
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Antonio Mesa — Doctor · (305) 670-7650
NPI enumeratedMay 18, 2007
Last updated in NPPESOctober 27, 2007
Mailing addressPo Box 43-1405, South Miami, FL 33243-1405

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