Individual
ANDRE ALBERTO MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2501 SW 22ND ST, CORAL GABLES, FL 33145-3403
(305) 858-2545
Mailing address
9365 SW 77TH AVE APT 1003, MIAMI, FL 33156-7938
(786) 271-4672
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN24247
FL
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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