Medina, Gustavo

Medina, Gustavo is an individual health care provider with primary practice located at 14305 Collier Blvd , Naples FL 34119-9589. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Medina, Gustavo can be contacted via phone (877) 749-7428.

Contact Information

Primary practice address
14305 Collier Blvd Naples FL 34119-9589
Phone: (877) 749-7428
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X ME92091 Florida

Profile Details

NPI number 1932134020
LBN Legal business name Medina, Gustavo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Nov 26th, 2025 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1932134020 NPPES
Florida MEDICAID 126221800
Florida Other 28517

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