Individual
MAYREL MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1840 W 49TH ST STE 225, HIALEAH, FL 33012-2949
(786) 536-4399
(786) 431-5891
Mailing address
8425 NW 165TH TER, MIAMI LAKES, FL 33016-6137
(786) 357-3765
(786) 431-5891
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA24178
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA24178
APT
FL
Enumeration date
09/06/2014
Last updated
09/06/2014
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