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NPI Code Detail

MEDICARE: NATALIE MARIE MEDINA FNP-BC

MEDICARE: NATALIE MARIE MEDINA FNP-BC
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
1207Q00000XFamily Medicine PhysicianARNP9304721FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11679959498OTHERFLNPI
247-3682779OTHERFLTAX ID
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568937852
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIE MARIE MEDINA FNP-BC
Provider Business Mailing Address
First Line : 2575 SW 67TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33155-2968
Country : US
Telephone Number : 305-266-2424
Fax Number : 305-692-0728
Provider Business Practice Location Address
First Line : 2575 SW 67TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33155-2968
Country : US
Telephone Number : 305-266-2424
Fax Number : 305-692-0728
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2018
Last Update Date : 10/12/2018

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Directions to “ NATALIE MARIE MEDINA FNP-BC” Practice Location

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