Medina, Manuel

Medina, Manuel is an sole proprietor health care provider with primary practice located at 3414 W 84Th St Ste 100 , Hialeah Gardens FL 33018-4932. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Medina, Manuel can be contacted via phone (786) 313-3558.

Contact Information

Primary practice address
3414 W 84Th St Ste 100 Hialeah Gardens FL 33018-4932
Fax: (786) 360-5803
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X Florida

Profile Details

NPI number 1538792577
LBN Legal business name Medina, Manuel
Credentials BSN, CBHCM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 18th, 2020
Last updated Oct 29th, 2023 - about 3 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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