Individual
DR. AVIS MARIE MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
6230 SCOTT ST, UNIT 213, PUNTA GORDA, FL 33950-3940
(941) 457-5174
Mailing address
6230 SCOTT ST, UNIT 213, PUNTA GORDA, FL 33950-3940
(941) 457-5174
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN17957
FL
Other
Enumeration date
06/13/2007
Last updated
06/10/2009
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