Medina, Miguel A

Medina, Miguel A is an sole proprietor health care provider with primary practice located at 701 W Cocoa Beach Cswy , Cocoa Beach FL 32931. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Medina, Miguel A can be contacted via phone (321) 868-5871.

Contact Information

Primary practice address
701 W Cocoa Beach Cswy Cocoa Beach FL 32931
Phone: (321) 868-5871
Fax: (321) 868-5852
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME97000 Florida

Profile Details

NPI number 1356441968
LBN Legal business name Medina, Miguel A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 24th, 2006
Last updated Apr 4th, 2019 - about 5 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 1356441968 NPPES
Florida Other AC467W MEDICARE
Florida MEDICAID 281177400 MEDICARE

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