Individual
DR. ALAN MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19 NEW WATER OAK DR, PALM COAST, FL 32137-6958
(917) 856-6519
(386) 597-2948
Mailing address
19 NEW WATER OAK DR, PALM COAST, FL 32137-6958
(917) 856-6519
(386) 597-2948
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
170738
NY
2084P0800X
Psychiatry Physician
Primary
715678
FL
Other
Enumeration date
10/31/2006
Last updated
12/10/2020
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