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1891817508
HUMBERTO MEDINA
JACKSONVILLE, FL
NPI
1891817508
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT22530)
Enumeration Date
2007-04-04
Last Update Date
2007-07-08
Business Address
-- HUMBERTO MEDINA PT
2802 PARENTAL HOME RD
JACKSONVILLE, FL 32216-5702
Phone number: 904-721-0088
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Mailing Address
-- HUMBERTO MEDINA PT
495 CABERNET PL
ST AUGUSTINE, FL 32084-2581
Phone number:
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