Medina, Mya Lucero

Medina, Mya Lucero is an sole proprietor health care provider with primary practice located at 40124 Highway 27 Ste 103 , Davenport FL 33837-5905. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Medina, Mya Lucero can be contacted via phone (863) 419-2500.

Contact Information

Primary practice address
40124 Highway 27 Ste 103 Davenport FL 33837-5905
Phone: (863) 419-2500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA20339 Florida

Profile Details

NPI number 1205560422
LBN Legal business name Medina, Mya Lucero
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2022
Last updated Jul 13th, 2022 - about 4 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.

Request for update

Popular Providers