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General NPI Number Information
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NPI Number | 1285851147
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Entity Type | Individual
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Provider Name | PAULA MEDINA MEDINA MD
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Gender | Female
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 10/28/2021
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Provider Practice Location Address
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Address Line | 515 W 6TH ST
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City | JACKSONVILLE
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State | FL
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Zip | 32206-4324
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Country | US
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Telephone | 904-253-1070
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Fax | 904-253-1943
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Provider Business Mailing Address
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Address Line | 345 S CONGRESS AVE
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City | DELRAY BEACH
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State | FL
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Zip | 33445-4617
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Country | US
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Telephone | 561-274-3100
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Fax | 561-274-3103
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 146D00000X
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Taxonomy Name | Personal Emergency Response Attendant
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License Number | 14,374
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ACN257
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License Number State | FL
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