Medina, Michael V

Medina, Michael V is an individual health care provider with primary practice located at 2950 Cleveland Clinic Blvd , Weston FL 33331-3609. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Medina, Michael V can be contacted via phone (954) 659-5000.

Contact Information

Primary practice address
2950 Cleveland Clinic Blvd Weston FL 33331-3609
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X MT187464 Pennsylvania
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X ME105786 Florida

Profile Details

NPI number 1093979783
LBN Legal business name Medina, Michael V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2008
Last updated Aug 13th, 2014 - about 11 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 1093979783 NPPES
Florida MEDICAID 001696700

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