Medina Rojo, Raul

Medina Rojo, Raul is an sole proprietor health care provider with primary practice located at 1539 Dale Mabry Hwy Ste 102 , Lutz FL 33548-3008. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Medina Rojo, Raul can be contacted via phone (813) 909-7102.

Contact Information

Primary practice address
1539 Dale Mabry Hwy Ste 102 Lutz FL 33548-3008
Phone: (813) 909-7102
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11022432 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN11022432 Florida

Profile Details

NPI number 1548986987
LBN Legal business name Medina Rojo, Raul
Credentials MSN, APRN, PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2022
Last updated Jul 12th, 2024 - about 2 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

Identifiers

StateTypeNumberIssuer
All States NPI 1548986987 NPPES
Florida MEDICAID APRN11022432

Popular Providers