Individual
GWENDOLYN DIAZ MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
833 E OAK ST, KISSIMMEE, FL 34744-5838
(844) 665-4827
Mailing address
2262 CHATHAM PLACE DR, ORLANDO, FL 32824-4766
(407) 267-8203
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
023427
PR
208D00000X
General Practice Physician
Primary
1571
FL
Other
Enumeration date
07/05/2022
Last updated
06/14/2024
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