Individual
DR. ARIEL MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
8247 SW 124TH ST, PINECREST, FL 33156-5900
(305) 233-1330
Mailing address
8247 SW 124TH ST, PINECREST, FL 33156-5900
(305) 233-1330
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 4155
FL
Other
Enumeration date
08/30/2006
Last updated
12/02/2011
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