Medina Medina, Paula

Medina Medina, Paula is an individual health care provider with primary practice located at 515 W 6Th St , Jacksonville FL 32206-4324. She recently has 2 registered licenses in different health care specialties including Emergency Medical Service Providers / Personal Emergency Response Attendant, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Medina Medina, Paula can be contacted via phone (904) 253-1070.

Contact Information

Primary practice address
515 W 6Th St Jacksonville FL 32206-4324
Fax: (904) 253-1943
Website:

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Personal Emergency Response Attendant 146D00000X 14,374 Puerto Rico
Allopathic & Osteopathic Physicians / General Practice 208D00000X ACN257 Florida

Profile Details

NPI number 1285851147
LBN Legal business name Medina Medina, Paula
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2007
Last updated Oct 28th, 2021 - about 3 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 1285851147 NPPES
Puerto Rico MEDICAID 14,374

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