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1043906753
VIVIAN DEL CARMEN MEDINA
PALM COAST, FL
NPI
1043906753
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: FL 11025782)
Enumeration Date
2023-04-14
Last Update Date
2023-04-14
Business Address
VIVIAN DEL CARMEN MEDINA APRN
14 OFFICE PARK DR STE 6
PALM COAST, FL 32137-3830
Phone number: 407-299-7333
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Mailing Address
VIVIAN DEL CARMEN MEDINA APRN
3927 S TRAPANI DR
SAINT AUGUSTINE, FL 32092-3496
Phone number: 904-521-0994
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