Individual
ROBERTO MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14320 BRUCE B DOWNS BLVD, TAMPA, FL 33613
(813) 971-4544
(813) 355-5020
Mailing address
38135 MARKET SQUARE, ZEPHYRHILLS, FL 33542
(813) 528-4975
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME44771
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069393600
—
FL
01
—
P00085711
RR MEDICARE
FL
Enumeration date
08/01/2006
Last updated
11/02/2015
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