Individual
DR. KATHERINE ORELLANA MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
9773 W SAMPLE RD, CORAL SPRINGS, FL 33065-4003
(954) 753-0137
(954) 753-0139
Mailing address
9773 W SAMPLE RD, CORAL SPRINGS, FL 33065-4003
(954) 753-0137
(954) 753-0139
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3853
FL
152W00000X
Optometrist
TUV006221
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000557300
—
FL
05
—
02072966
—
NY
01
—
6501441
GHI
NY
01
—
P2390358
OXFORD
NY
01
—
TUV006221
HIP
NY
Enumeration date
04/21/2006
Last updated
10/30/2013
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