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Contact Information

ANNETTE MEDINA, CST
4220 LUGANO CT
KISSIMMEE, FL34746-3434
 Phone: 321-442-2454
 Fax: 407-386-3006
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type
 

Technician/Technologist

156F00000X
Indicates primary specialty

NPI Profile & details for ANNETTE MEDINA · (Female)

NPI # 1508687336
Status Active
Credentials CST
Entity Individual
Enumeration date 10/23/2024
Last updated 10/23/2024 - More than a year ago
Sole proprietor 1 No
Identifiers Not Available
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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