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Individual

DR. EKATERINA MEDINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
14866 OLD SAINT AUGUSTINE RD STE 103, JACKSONVILLE, FL 32258-2611
(904) 348-0039
Mailing address
3 PITTMAN PL, PALM COAST, FL 32164-4838
(386) 237-5890

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
13546
FL

Other

Enumeration date
07/07/2021
Last updated
08/14/2023
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