Medina, Ivelisse

Medina, Ivelisse is an sole proprietor health care provider with primary practice located at 11993 Kajetan Ln , Orlando FL 32827-7153. She recently has only one registered license in Ambulatory Health Care Facilities / Hearing and Speech, which is considered as her primary health care specialty. Medina, Ivelisse can be contacted via phone (407) 335-8578.

Contact Information

Primary practice address
11993 Kajetan Ln Orlando FL 32827-7153
Phone: (407) 335-8578
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Hearing and Speech 261QH0700X SI2200 Florida

Profile Details

NPI number 1013795608
LBN Legal business name Medina, Ivelisse
Credentials SLPA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2023
Last updated Sep 15th, 2023 - about last year

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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