Individual
ELAINE MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
16405 SW 72ND TER, MIAMI, FL 33193
(305) 801-0286
Mailing address
16405 SW 72ND TER, MIAMI, FL 33193-3700
(305) 801-0286
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA16131
FL
Other
Enumeration date
06/10/2010
Last updated
07/11/2018
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