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Individual

DR. PAULA MEDINA MEDINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
515 W 6TH ST, JACKSONVILLE, FL 32206-4324
(904) 253-1070
(904) 253-1943
Mailing address
345 S CONGRESS AVE, DELRAY BEACH, FL 33445-4617
(561) 274-3100
(561) 274-3103

Taxonomy

Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
14,374
PR
208D00000X
General Practice Physician
Primary
ACN257
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
14,374
PR
Enumeration date
04/19/2007
Last updated
10/28/2021
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