Medina, Jacquelyn

Medina, Jacquelyn is an individual health care provider with primary practice located at 1361 13Th Ave S Ste 180 , Jacksonville Beach FL 32250-3235. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Medina, Jacquelyn can be contacted via phone (904) 247-4300.

Contact Information

Primary practice address
1361 13Th Ave S Ste 180 Jacksonville Beach FL 32250-3235
Phone: (904) 247-4300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Dermatology 207N00000X OS19989 Florida

Profile Details

NPI number 1780143628
LBN Legal business name Medina, Jacquelyn
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2019
Last updated Jul 3rd, 2023 - 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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