Individual
DR. RAFAEL A PAGAN MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
130 RIDGE CENTER DR, DAVENPORT, FL 33837-6413
(866) 234-8534
Mailing address
47 5TH ST NW, WINTER HAVEN, FL 33881-4672
(866) 234-8534
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
15494
PR
208D00000X
General Practice Physician
Primary
ACN
FL
208D00000X
General Practice Physician
Primary
ACN979
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130371700
—
FL
Enumeration date
06/25/2007
Last updated
03/18/2026
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