Individual
DIANELA MEDINA VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
5643 NW 29TH ST, MARGATE, FL 33063-1531
(954) 979-6900
(866) 245-0079
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168
(844) 630-0700
(305) 500-2155
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
137686
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME137686
STATE LICENSE
FL
Enumeration date
06/06/2016
Last updated
03/03/2026
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