Individual
DAGMILIS MEDINA ISLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 W 68TH ST, HIALEAH, FL 33016-1898
(305) 823-5000
Mailing address
9940 SW 62ND ST, MIAMI, FL 33173-1432
(786) 894-6514
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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