Medina, Gustavo

Medina, Gustavo is an individual health care provider with primary practice located at 130 Moorings Park Dr , Naples FL 34105-2122. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Medina, Gustavo can be contacted via phone (877) 749-7428.

Contact Information

Primary practice address
130 Moorings Park Dr Naples FL 34105-2122
Phone: (877) 749-7428
Fax: (512) 628-3314
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X ME92091 Florida

Profile Details

NPI number 1932134020
LBN Legal business name Medina, Gustavo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Dec 2nd, 2022 - about 2 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 1932134020 NPPES
Florida Other 28517 BCBS GROUP NO.

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