Medina-Lago, Angela J
Medina-Lago, Angela J is an sole proprietor health care provider with primary practice located at 2290 N Ronald Reagan Blvd Ste 116 , Longwood FL 32750-3534. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Medina-Lago, Angela J can be contacted via phone (407) 962-7953.Contact Information
Primary practice address
2290 N Ronald Reagan Blvd Ste 116
Longwood FL 32750-3534
Phone: (407) 962-7953
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | NO | Florida |
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X |
Profile Details
| NPI number | 1073888988 |
|---|---|
| LBN Legal business name | Medina-Lago, Angela J |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 12th, 2012 |
| Last updated | Jun 13th, 2024 - 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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