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MESAESTHETICS & WELLNESS LLC
NPI 1194589846
Family Medicine in Bradenton, FL

Active since February 12, 2024CLIA 10D2301063 · Waiver
3645 CORTEZ RD W STE 110, BRADENTON, FL 34210(831) 975-6010(949) 695-4150 Get Directions Write a Review

NPPES record last updated: February 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mesaesthetics & Wellness Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MESAESTHETICS & WELLNESS LLC (NPI 1194589846) is a healthcare organization registered as a family medicine in Bradenton, Florida and active in the NPI registry since February 2024. The organization holds a CLIA Waiver certificate valid through March 19, 2028 and lists Denise Serrano, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1194589846
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMESAESTHETICS & WELLNESS LLC
Location Address3645 CORTEZ RD W STE 110Bradenton, FL 34210-3161
Mailing Address3645 Cortez Rd W Fl 3164Bradenton, FL 34210-3164 · (831) 975-6010
Phone(831) 975-6010
Fax(949) 695-4150
Organization SubpartNo
Authorized OfficialDenise SerranoCredentialing Manager · (347) 592-0841
Enumeration DateFebruary 12, 2024
Last NPPES UpdateFebruary 6, 2025
NPPES CertifiedFebruary 6, 2025
✔ NPI 1194589846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3645 CORTEZ RD W STE 110, Bradenton, FL 34210
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2301063

Mesaesthetics & Wellness LLC · Bradenton, FL
Active · expires Mar 19, 2028
CLIA Number10D2301063
Laboratory TypePhysician Office
Certificate Effective DateMarch 20, 2026
Certificate Expiration DateMarch 19, 2028
Laboratory DirectorNathalia Mesa
Laboratory Phone(941) 251-0600
Laboratory LocationMesaesthetics & Wellness LLC3645 Cortez Rd W Suite 110, Bradenton, FL 34210
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HAIRSTON NUTRITION CONSULTING PLLC
Dietitian, Registered
3645 CORTEZ RD W STE 110
BRADENTON, FL 34210
Manatee County (725) 599-3080
NATHALIA MESA M.D.
Family Medicine
3645 CORTEZ RD W STE 110
BRADENTON, FL 34210
Manatee County (888) 795-2661

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mesaesthetics & Wellness LLC's NPI number?

The NPI number for Mesaesthetics & Wellness LLC is 1194589846. It was assigned to this organization in the NPPES registry on February 12, 2024.

Where is Mesaesthetics & Wellness LLC located?

Mesaesthetics & Wellness LLC is located at 3645 Cortez Rd W Ste 110, Bradenton, FL 34210. The listed phone number is (831) 975-6010.

What is Mesaesthetics & Wellness LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Mesaesthetics & Wellness LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2301063) is associated with this NPI, valid through March 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mesaesthetics & Wellness LLC was last updated on February 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.