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Organization
JOSE GABRIEL MEDINA-SMESTER PA
Active
Organization
JOSE GABRIEL MEDINA-SMESTER PA
Active
Other names
Medihealth MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE GABRIEL MEDINA-SMESTER MD (OWNER)
(229) 247-1667
Entity
Organization
Contact information
Practice address
801 BRICKELL AVE STE 954, MIAMI, FL 33131-2951
(786) 375-5098
(229) 245-7661
Mailing address
PO BOX 3550, VALDOSTA, GA 31604-3550
(229) 247-1667
(229) 245-7661
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME117746
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14T5H
FLORIDA BLUE
FL
Enumeration date
01/22/2015
Last updated
03/03/2015
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