Manuel Medina, BSN, CBHCM

NPI #1538792577 in Hialeah Gardens, Florida

Provider Information

NPI Number: 1538792577
Entity Type: Individual
Name: Manuel Medina, BSN, CBHCM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: BSN, CBHCM
Enumeration Date: Feb 18, 2020
Last Updated: Oct 29, 2023

Practice Location

Address: 3414 W 84TH ST STE 100
City: Hialeah Gardens
State: Florida
ZIP Code: 33018-4932
Phone: (786) 313-3558

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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