Individual
DAVID JOSE MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
33 N KROME AVE, HOMESTEAD, FL 33030-6014
(786) 601-2042
Mailing address
2561 SE 11TH CT, HOMESTEAD, FL 33035-2127
(787) 702-8669
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI2574
FL
Other
Enumeration date
10/13/2017
Last updated
10/13/2017
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