person
Mr. Ivan Medina
Student in an Organized Health Care Education/Training Program in Miami, Florida
NPI 1497744874

Ivan Medina is a Student in an Organized Health Care Education/Training Program based in Miami, FL. Ivan Medina practices in Miami, FL. The NPI Number for Ivan Medina is 1497744874 and holds a License No. 15106 (Florida).

The current practice location address for Ivan Medina is 15043 S Dixie Hwy, Miami, FL and can be reached out via phone at 305-238-2474.

Location: 15043 S Dixie Hwy, Miami, FL, 33187-7753
person
Provider Profile Details
NPI Number
1497744874
Provider Name
Ivan Medina
Credential
Provider Entity Type
Individual
Gender
Male
Address
15043 S Dixie Hwy, Miami, FL, 33187-7753
Phone Number
305-238-2474
Fax Number
Provider Enumeration Date
10/18/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
15043 S Dixie Hwy
City
State
Zip
33176-7930
Phone Number
305-238-2474
Fax Number
person
Provider Business Mailing Address Details
Address
15043 S Dixie Hwy
City
State
Zip
33176-7930
Phone Number
305-238-2474
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
15106 (Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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