Individual
MANUEL MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BSN, CBHCM
Contact information
Practice address
3414 W 84TH ST STE 100, HIALEAH GARDENS, FL 33018-4932
(786) 313-3558
(786) 360-5803
Mailing address
3414 W 84TH ST STE 100, HIALEAH GARDENS, FL 33018-4932
(786) 313-3558
(786) 360-5803
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
FL
Other
Enumeration date
02/18/2020
Last updated
10/29/2023
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