Individual
CARMEN MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2413 QUIET WATERS LOOP, OCOEE, FL 34761-4789
(407) 625-7652
Mailing address
2413 QUIET WATERS LOOP, OCOEE, FL 34761-4789
(407) 625-7652
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 2881
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z8203
BC/BS
FL
Enumeration date
09/06/2006
Last updated
11/23/2022
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