Miguel Mestre Jr.
Nurse Practitioner, Primary Care in Davenport, FL. Individual provider (NPI-1).
NPI number1669920237
StatusActive
Last updated in NPPESJun 15, 2026
Details
- NPI
- 1669920237
- Entity type
- Individual (NPI-1)
- Name
- Mr. Miguel Mestre Jr.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 13, 2016
- Certification date
- Jun 15, 2026
- Last updated
- Jun 15, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | ARNP9198073 | FL | Yes |
| 363L00000X | Nurse Practitioner | ARNP9198073 | FL | |
| 363LA2200X | Nurse Practitioner, Adult Health | ARNP9198073 | FL | |
| 363LG0600X | Nurse Practitioner, Gerontology | ARNP9198073 | FL | |
| 163WG0000X | Registered Nurse, General Practice | RN9198073 | FL |
Other names
- Miguel Mestre (Professional Name)
Practice location
130 Ridge Center DrDavenport, FL 33837-6413
Phone 866-234-8534
Mailing address
47 5th St NwWinter Haven, FL 33881-4672
Phone 866-234-8534
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All 5 Primary Care Nurse Practitioner providers in Davenport · All 1,216 providers in Davenport
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