La Santa Medina, Nydialis

La Santa Medina, Nydialis is an individual health care provider with primary practice located at 400 N. Lake Howard Dr , Winter Haven FL 33881. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Assistant, which is considered as her primary health care specialty. La Santa Medina, Nydialis can be contacted via phone (863) 268-2608.

Contact Information

Primary practice address
400 N. Lake Howard Dr Winter Haven FL 33881
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X 4165 Florida

Profile Details

NPI number 1902497704
LBN Legal business name La Santa Medina, Nydialis
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2021
Last updated Feb 3rd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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