MR. Ivan Medina

NPI #1497744874 in Miami, Florida

Provider Information

NPI Number
1497744874
Entity Type
Individual
Name
MR. Ivan Medina
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
Oct 18, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
15043 S DIXIE HWY
City
Miami
State
Florida
ZIP Code
33176-7930
Phone
(305) 238-2474

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program

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