Organization
MEDINA COMMUNITY SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISABET MEDINA (OWNER)
(786) 547-4140
Entity
Organization
Contact information
Practice address
16430 NW 59TH AVE STE 202, MIAMI LAKES, FL 33014-5605
(786) 671-4117
Mailing address
16430 NW 59TH AVE STE 202, MIAMI LAKES, FL 33014-5605
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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