Individual
JUAN MANUEL MEDINA BETANCOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11037 SITING PL, ORLANDO, FL 32825-7227
(913) 956-8930
Mailing address
11037 SITING PL, ORLANDO, FL 32825-7227
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/07/2023
Last updated
03/07/2023
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