Medina, Monique

Medina, Monique is an individual health care provider with primary practice located at 77 W Granada Blvd , Ormond Beach FL 32174-6302. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Medina, Monique can be contacted via phone (386) 677-0453.

Contact Information

Primary practice address
77 W Granada Blvd Ormond Beach FL 32174-6302
Phone: (386) 677-0453
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9110897 Florida

Profile Details

NPI number 1467967240
LBN Legal business name Medina, Monique
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2017
Last updated Dec 3rd, 2017 - about 9 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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