Individual
ERICK ALEJANDRO MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
198 W 17TH ST, HIALEAH, FL 33010-3026
(305) 244-0834
Mailing address
198 W 17TH ST, HIALEAH, FL 33010-3026
(305) 244-0834
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 14809
FL
Other
Enumeration date
10/24/2013
Last updated
01/13/2017
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