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1023069960
TANYA M MEDINA
SAINT CLOUD, FL
NPI
1023069960
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME84474)
Enumeration Date
2006-05-15
Last Update Date
2010-05-11
Business Address
-- TANYA M MEDINA MD
618 13TH ST STE A
SAINT CLOUD, FL 34769-4503
Phone number: 407-556-3999
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Mailing Address
-- TANYA M MEDINA MD
618 13TH ST STEA
SAINT CLOUD, FL 34769-4503
Phone number: 407-556-3999
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