Individual
MRS. JOSEPHINE ISABELL MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1613 HARRISON PKWY STE 200, SUNRISE, FL 33323-2853
(800) 437-2672
Mailing address
17742 LILY BLOSSOM LN, ORLANDO, FL 32820-2284
(407) 227-8853
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
107170
FL
Other
Enumeration date
06/04/2015
Last updated
06/04/2015
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