Individual
GUSTAVO MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14305 COLLIER BLVD, NAPLES, FL 34119-9589
(877) 749-7428
Mailing address
1776 WOODSTEAD CT STE 208, THE WOODLANDS, TX 77380-1480
(877) 749-7428
(512) 628-3314
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME92091
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126221800
—
FL
01
—
28517
BCBS GROUP NO.
FL
Enumeration date
07/11/2006
Last updated
11/26/2025
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