institution
Carlos Medina Md Pa
Plastic and Reconstructive Surgery Physician in Aventura, Florida
NPI 1700242617

Carlos Medina Md Pa is a Plastic and Reconstructive Surgery Physician based in Hollywood, FL and is specialized in Plastic and Reconstructive Surgery. Carlos Medina Md Pa practices in Aventura, FL. The NPI Number for Carlos Medina Md Pa is 1700242617 and holds a License No. ME106831 (Florida).

The current practice location address for Carlos Medina Md Pa is 21110 Biscayne Blvd Ste 201, Aventura, FL and can be reached out via phone at 786-817-7808 and via fax at 786-551-2299.

Location: 21110 Biscayne Blvd Ste 201, Aventura, FL, 33019-5005
institution
Provider Profile Details
NPI Number
1700242617
Provider Name
Carlos Medina Md Pa
Credential
Provider Entity Type
Organization
Address
21110 Biscayne Blvd Ste 201, Aventura, FL, 33019-5005
Phone Number
786-817-7808
Fax Number
786-551-2299
Provider Enumeration Date
01/07/2016
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ME106831 01 FL MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
21110 Biscayne Blvd Ste 201
City
State
Zip
33180-1251
Phone Number
786-817-7808
Fax Number
786-551-2299
person
Provider Business Mailing Address Details
Address
21110 Biscayne Blvd Ste 201
City
State
Zip
33180-1251
Phone Number
786-817-7808
Fax Number
786-551-2299
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
ME106831 (Florida)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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