Individual
HANNAH MARIE MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1708 CAPE CORAL PKWY W STE 10, CAPE CORAL, FL 33914-6985
(239) 541-4633
(239) 541-1825
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9115725
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114083600
—
FL
Enumeration date
04/03/2022
Last updated
08/27/2022
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