Individual
RUDY ANTONIO MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
1639 FORUM PL STE 7, WEST PALM BEACH, FL 33401-2330
(561) 712-8821
Mailing address
819 UNIVERSITY BLVD APT 105, JUPITER, FL 33458-3062
(561) 255-6881
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
FL
Other
Enumeration date
02/28/2011
Last updated
02/28/2011
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