Individual
MARIA MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
100 NW 170TH ST STE 410, NORTH MIAMI BEACH, FL 33169-5511
(305) 654-6850
Mailing address
8982 W 34TH CT, HIALEAH, FL 33018-1884
(786) 973-0460
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
9293701
FL
363LF0000X
Family Nurse Practitioner
9293701
FL
Other
Enumeration date
07/26/2017
Last updated
05/03/2018
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