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Contact Information

PAULA MEDINA MEDINA, MD
515 W 6TH ST
JACKSONVILLE, FL32206-4324
 Phone: 904-253-1070
 Fax: 904-253-1943
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Personal Emergency Response Attendant

146D00000X
Indicates primary specialty

NPI Profile & details for PAULA MEDINA MEDINA · (Female)

NPI Number 1285851147
Status Active
Credentials MD
Entity Individual
Enumeration date 04/19/2007
Last updated 10/28/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ACN257
  • PR License # 14,374
  • PR Medicaid 14,374
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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