Individual
RAUL MEDINA ROJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, PMHNP-BC
Contact information
Practice address
1539 DALE MABRY HWY STE 102, LUTZ, FL 33548-3008
(813) 909-7102
Mailing address
9032 SW 142ND AVE APT 530, MIAMI, FL 33186-8024
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN11022432
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11022432
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
APRN11022432
—
FL
Enumeration date
10/18/2022
Last updated
07/12/2024
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