Individual
IGNACIO RAMON MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
6129 SW 70TH ST, SOUTH MIAMI, FL 33143-3451
(786) 516-5668
Mailing address
6129 SW 70TH ST, SOUTH MIAMI, FL 33143-3451
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9374659
FL
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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