Medina, Avis Marie
Medina, Avis Marie is an sole proprietor health care provider with primary practice located at 6230 Scott St Unit 213, Punta Gorda FL 33950-3940. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Medina, Avis Marie can be contacted via phone (941) 457-5174.Contact Information
Primary practice address
6230 Scott St Unit 213
Punta Gorda FL 33950-3940
Phone: (941) 457-5174
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN17957 | Florida |
Profile Details
| NPI number | 1740484823 |
|---|---|
| LBN Legal business name | Medina, Avis Marie |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2007 |
| Last updated | Jun 10th, 2009 - about 15 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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