IVAN MEDINA

MIAMI, FL
NPI1497744874
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: FL  15106)
Enumeration Date2005-10-18
Last Update Date2007-07-08
Business Address
Mr. IVAN MEDINA
15043 S DIXIE HWY
MIAMI, FL 33176-7930
Phone number: 305-238-2474
Mailing Address
Mr. IVAN MEDINA
18084 SW 152ND PL
MIAMI, FL 33187-7753
Phone number: 305-608-6887
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