Individual
DR. WILSON ALFREDO MEDINA II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
52 W UNDERWOOD ST, ORLANDO, FL 32806-1110
(321) 841-5111
Mailing address
52 W UNDERWOOD ST, ORLANDO, FL 32806-1110
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME156020
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/28/2017
Last updated
07/02/2022
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