Individual
YASIER VICENTE MEDINA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 615-3350
Mailing address
11215 METRO PKWY STE 100, FORT MYERS, FL 33966-1206
(239) 208-2212
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2020-02157
NC
2084N0400X
Neurology Physician
35.150998
OH
2084N0400X
Neurology Physician
ME169884
FL
390200000X
Student in an Organized Health Care Education/Training Program
BP10071125
TX
Other
Enumeration date
07/24/2018
Last updated
08/26/2025
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