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Individual

MS. PRISCILA ANDREA MEDINA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
134 E BLOOMINGDALE AVE, BRANDON, FL 33511-8101
(305) 801-7617
Mailing address
8611 BONAIRE BAY LN, APT 301, TAMPA, FL 33614-1796
(305) 801-7617

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL4453
FL

Other

Enumeration date
03/21/2017
Last updated
03/21/2017
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