Individual
JAVIER MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
45 NW 8TH ST STE 108, HOMESTEAD, FL 33030-4452
(954) 995-7431
Mailing address
20780 SW 86TH PL, CUTLER BAY, FL 33189-3839
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
29219
FL
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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