Medina Rodriguez, Miguel A

Medina Rodriguez, Miguel A is an sole proprietor health care provider with primary practice located at 2575 N Courtenay Pkwy , Merritt Island FL 32953-4126. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Aerospace Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Medina Rodriguez, Miguel A can be contacted via phone (321) 454-7148.

Contact Information

Primary practice address
2575 N Courtenay Pkwy Merritt Island FL 32953-4126
Phone: (321) 454-7148
Fax: (321) 449-5015
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 12542 Puerto Rico
Allopathic & Osteopathic Physicians / Aerospace Medicine 2083A0100X 12542 Puerto Rico

Profile Details

NPI number 1427049972
LBN Legal business name Medina Rodriguez, Miguel A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2005
Last updated Feb 11th, 2014 - about 10 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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