Medina, Alan

Medina, Alan is an sole proprietor health care provider with primary practice located at 19 New Water Oak Dr , Palm Coast FL 32137-6958. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Medina, Alan can be contacted via phone (917) 856-6519.

Contact Information

Primary practice address
19 New Water Oak Dr Palm Coast FL 32137-6958
Phone: (917) 856-6519
Fax: (386) 597-2948
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 170738 New York
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 715678 Florida

Profile Details

NPI number 1598841439
LBN Legal business name Medina, Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2006
Last updated Dec 10th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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