Individual
IVONNE MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16510 N DALE MABRY HWY, TAMPA, FL 33618-1325
(813) 409-0047
Mailing address
16510 N DALE MABRY HWY, TAMPA, FL 33618-1325
(813) 409-0047
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9301620
FL
Other
Enumeration date
04/15/2022
Last updated
04/15/2022
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