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General NPI Number Information
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NPI Number | 1801309323
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Entity Type | Individual
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Provider Name | KRISTINA MEDINA ARNP
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Gender | Female
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Dates
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Enumeration Date | 11/06/2017
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 12741 MIRAMAR PKWY STE 302
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City | MIRAMAR
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State | FL
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Zip | 33027-2905
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Country | US
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Telephone | 954-602-9723
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Fax | 954-602-9724
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Provider Business Mailing Address
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Address Line | 1840 SW 23RD AVE
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City | FORT LAUDERDALE
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State | FL
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Zip | 33312-4512
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Country | US
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Telephone | 305-322-5306
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Fax |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 9376431
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License Number State | FL
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