Individual
EMILY DIANE MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
13801 LANDSTAR BLVD, ORLANDO, FL 32824-5525
(407) 723-4446
Mailing address
13801 LANDSTAR BLVD, ORLANDO, FL 32824-5525
(407) 723-4446
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PS54902
FL
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PS54902
FL
Other
Enumeration date
04/21/2018
Last updated
04/21/2018
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