Individual
ALEX DENIS-MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
9009 CORPORATE LAKE DR, TAMPA, FL 33634-2367
(941) 773-9781
Mailing address
9009 CORPORATE LAKE DR, TAMPA, FL 33634-2367
(941) 773-9781
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
9312332
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9312332
ARNP LICENSE
FL
Enumeration date
03/23/2014
Last updated
02/10/2017
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