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NPI Code Detail

MEDICARE: NOEMI MEDINA MSS

MEDICARE: NOEMI MEDINA MSS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467851261
Entity Type Code : Individual
Provider Name (Legal Business Name) : NOEMI MEDINA MSS
Provider Business Mailing Address
First Line : 2009 GRANDE CT APT 810
Second Line :
City : KISSIMMEE
State : FL
Zip : 34743-3127
Country : US
Telephone Number : 321-443-5612
Fax Number :
Provider Business Practice Location Address
First Line : 1707 ORLANDO CENTRAL PKWY STE 480
Second Line :
City : ORLANDO
State : FL
Zip : 32809-5785
Country : US
Telephone Number : 321-443-5612
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2014
Last Update Date : 09/14/2023

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Directions to “ NOEMI MEDINA MSS” Practice Location

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