Individual
DR. CARLOS MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
11780 E COLONIAL DR, ORLANDO, FL 32817-4626
(407) 282-2101
Mailing address
11780 E COLONIAL DR, ORLANDO, FL 32817-4626
(407) 282-2101
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15845
FL
Other
Enumeration date
07/11/2007
Last updated
03/09/2023
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