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Contact Information

MIGUEL A MEDINA, MD
701 W COCOA BEACH CSWY
COCOA BEACH, FL32931
 Phone: 321-868-5871
 Fax: 321-868-5852
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
Indicates primary specialty

NPI Profile & details for MIGUEL A MEDINA · (Male)

NPI Number 1356441968
Status Active
Credentials MD
Entity Individual
Enumeration date 09/24/2006
Last updated 04/04/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ME97000
  • FL Medicaid 281177400
  • FL Other AC467W MEDICARE
Hospital affiliation(s)
  • CAPE CANAVERAL HOSPITAL - (Acute Care)
    701 W COCOA BEACH CAUSEWAY
    COCOA BEACH, FL 32932
  • HOLMES REGIONAL MEDICAL CENTER - (Acute Care)
    1350 S HICKORY ST
    MELBOURNE, FL 32901
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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