Individual
EDGAR C MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1290 KENDALL TOWN BLVD UNIT 6313, JACKSONVILLE, FL 32225-7295
(305) 219-7703
Mailing address
1290 KENDALL TOWN BLVD UNIT 6313, JACKSONVILLE, FL 32225-7295
(305) 219-7703
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA97468
FL
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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