Individual
MR. EVAN MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6609 W WOOLBRIGHT RD, SUITE 420, BOYNTON BEACH, FL 33437-0917
(561) 200-4262
(561) 200-4268
Mailing address
6609 W WOOLBRIGHT RD, SUITE 420, BOYNTON BEACH, FL 33437-0917
(561) 200-4262
(561) 200-4268
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA27027
FL
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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