Medina, Tanya M
Medina, Tanya M is an individual health care provider with primary practice located at 618 13Th St Ste A, Saint Cloud FL 34769-4503. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Medina, Tanya M can be contacted via phone (407) 556-3999.Contact Information
Primary practice address
618 13Th St Ste A
Saint Cloud FL 34769-4503
Phone: (407) 556-3999
Fax: (407) 556-3933
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME84474 | Florida |
Profile Details
| NPI number | 1023069960 |
|---|---|
| LBN Legal business name | Medina, Tanya M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2006 |
| Last updated | May 11th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023069960 | NPPES |
| Florida | MEDICAID | 270733100 |
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