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Organization

MILAGROS MEDINA APRN BC PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MILAGROS MARIA MEDINA ARNP (OWNER/CEO)
(305) 607-9607
Entity
Organization

Contact information

Practice address
9745 SUNSET DR, SUITE 107, MIAMI, FL 33173-4652
(305) 271-1148
(305) 271-1112
Mailing address
PO BOX 901231, HOMESTEAD, FL 33090-1231
(305) 607-9607
(305) 245-9933

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
ARNP 9165584
FL

Other

Enumeration date
10/16/2008
Last updated
10/16/2008
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