Individual
MATEO ANDRES MEDINA CORDOBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
13960 SW 160TH AVE, MIAMI, FL 33196-6453
(561) 690-8086
Mailing address
13960 SW 160TH AVE, MIAMI, FL 33196-6453
(561) 690-8086
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
24-182
FL
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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