Individual
MARIO MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
752 W FLAGLER ST STE 101, MIAMI, FL 33130-1200
(305) 324-6500
(305) 324-6520
Mailing address
752 W FLAGLER ST STE 101, MIAMI, FL 33130-1200
(305) 324-6500
(305) 324-6520
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH27221
FL
Other
Enumeration date
11/14/2013
Last updated
11/14/2013
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