Individual
DR. ABDON J. MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4848 COCONUT CREEK PKWY, SUITE 100, COCONUT CREEK, FL 33063-3904
(954) 379-4848
(954) 642-3636
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS DEPT., FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME47189
FL
2085R0001X
Radiation Oncology Physician
Primary
ME47189
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02161
BCBS
FL
01
—
10063
DIMENSION
FL
01
—
209883
AVMED
FL
01
—
474368
WELLCARE
FL
01
—
5410745
AETNA
FL
01
—
P01584477
RR MEDICARE
FL
01
—
P1035607
FREEDOM
FL
01
—
P971366
OPTIMUM
FL
Enumeration date
07/10/2006
Last updated
10/20/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us