Medina, Miriam

Medina, Miriam is an individual health care provider with primary practice located at 111 E Lake Mary Bvld Suite 113, Sanford FL 32773. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Medina, Miriam can be contacted via phone (407) 203-9492.

Contact Information

Primary practice address
111 E Lake Mary Bvld Suite 113 Sanford FL 32773
Phone: (407) 203-9492
Fax: (321) 332-9768
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA14184 Florida

Profile Details

NPI number 1235560558
LBN Legal business name Medina, Miriam
Credentials MS/SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2013
Last updated May 20th, 2020 - 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 1235560558 NPPES
Florida MEDICAID 1235560558

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