Medina, Alan
Medina, Alan is an sole proprietor health care provider with primary practice located at 19 New Water Oak Dr , Palm Coast FL 32137-6958. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Medina, Alan can be contacted via phone (917) 856-6519.Contact Information
Primary practice address
19 New Water Oak Dr
Palm Coast FL 32137-6958
Phone: (917) 856-6519
Fax: (386) 597-2948
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 170738 | New York |
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 715678 | Florida |
Profile Details
NPI number | 1598841439 |
---|---|
LBN Legal business name | Medina, Alan |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 31st, 2006 |
Last updated | Dec 10th, 2020 - about 4 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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