Individual
MARIA MEDINILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4064 SW 95TH AVE, MIAMI, FL 33165-5240
(786) 709-8024
Mailing address
4064 SW 95TH AVE, MIAMI, FL 33165-5240
(786) 709-8024
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI3322
FL
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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