Medina, Mya Lucero
Medina, Mya Lucero is an sole proprietor health care provider with primary practice located at 40124 Highway 27 Ste 103 , Davenport FL 33837-5905. 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, Mya Lucero can be contacted via phone (863) 419-2500.Contact Information
Primary practice address
40124 Highway 27 Ste 103
Davenport FL 33837-5905
Phone: (863) 419-2500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SA20339 | Florida |
Profile Details
| NPI number | 1205560422 |
|---|---|
| LBN Legal business name | Medina, Mya Lucero |
| Credentials | CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2022 |
| Last updated | Jul 13th, 2022 - 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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