Medina, Raul Edgardo

Medina, Raul Edgardo is an individual health care provider with primary practice located at 619 South Marion Ave Va Hospital, Lake City FL 32025. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Medina, Raul Edgardo can be contacted via phone (386) 755-3016.

Contact Information

Primary practice address
619 South Marion Ave Va Hospital Lake City FL 32025
Phone: (386) 755-3016
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 13584 Puerto Rico

Profile Details

NPI number 1497719983
LBN Legal business name Medina, Raul Edgardo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Jun 26th, 2009 - about 15 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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