Ong, Alicia Medrano
Ong, Alicia Medrano is an individual health care provider with primary practice located at 1037 Professional Park Dr , Brandon FL 33511-4886. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ong, Alicia Medrano can be contacted via phone (813) 684-5659.Contact Information
Primary practice address
1037 Professional Park Dr
Brandon FL 33511-4886
Phone: (813) 684-5659
Fax: (813) 685-2640
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME78831 | Florida |
Profile Details
| NPI number | 1174536767 |
|---|---|
| LBN Legal business name | Ong, Alicia Medrano |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 14th, 2006 |
| Last updated | Dec 2nd, 2008 - about 17 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 | 1174536767 | NPPES |
| Florida | MEDICAID | 260865100 |
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