Medina, Abdon J.

Medina, Abdon J. is an individual health care provider with primary practice located at 4848 Coconut Creek Pkwy Suite 100, Coconut Creek FL 33063-3904. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Medina, Abdon J. can be contacted via phone (954) 379-4848.

Contact Information

Primary practice address
4848 Coconut Creek Pkwy Suite 100 Coconut Creek FL 33063-3904
Phone: (954) 379-4848
Fax: (954) 642-3636
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME47189 Florida
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X ME47189 Florida

Profile Details

NPI number 1598799181
LBN Legal business name Medina, Abdon J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Oct 20th, 2016 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1598799181 NPPES
Florida Other 02161 BCBS
Florida Other 209883 BCBS
Florida Other 474368 BCBS
Florida Other P01584477 BCBS
Florida Other P971366 BCBS
Florida Other 5410745 BCBS
Florida Other 10063 BCBS
Florida Other P1035607 BCBS

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