Individual
DR. ALICIA MEDRANO ONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1037 PROFESSIONAL PARK DR, BRANDON, FL 33511-4886
(813) 684-5659
(813) 685-2640
Mailing address
1037 PROFESSIONAL PARK DR, BRANDON, FL 33511-4886
(813) 684-5659
(813) 685-2640
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME78831
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
260865100
—
FL
Enumeration date
08/14/2006
Last updated
12/02/2008
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