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1407043854
RAFAEL ENRIQUE MEDINA
BOCA RATON, FL
NPI
1407043854
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: FL OT 10370)
Enumeration Date
2007-10-01
Last Update Date
2007-10-01
Business Address
Mr. RAFAEL ENRIQUE MEDINA OTR / L
9980 CENTRAL PARK BLVD N STE 33428
BOCA RATON, FL 33428-1762
Phone number: 561-470-2205
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Mailing Address
Mr. RAFAEL ENRIQUE MEDINA OTR / L
4000 PONCE DELEON BLVD. #470
CORAL GABLES, FL 33146
Phone number: 305-777-0342
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