Individual
FLAVIA C MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
8550 TOUCHTON RD E APT 1034, JACKSONVILLE, FL 32216-2210
(404) 822-8400
Mailing address
8550 TOWN RD #1034, JACKSONVILLE, FL 32216
(404) 822-8400
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH8762
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH8762
MEDICAL LICENSE
FL
Enumeration date
11/08/2006
Last updated
07/08/2007
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