MIGUEL A MEDINA MD PA
Osteopathic Medicine at Park Ave, Titusville, FL

License number
Florida ME0097000
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. MIGUEL ANGEL MEDINA MD
Title: PHYSICIAN
Phone: (321) 268-6111
Address
Address
119 S Park Ave, Titusville, FL 32796
National Provider ID: 1053584011
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Miguel A. Medina, M.D., PA

Titusville, FL

Registration:
Jul 31, 2007
Addresses:
119 S Park Ave, Titusville, FL 32796
5 Indian Riv Ave, Titusville, FL 32796
4420 S Hopkins Ave, Titusville, FL 32780
State ID:
P07000086030
Business type:
Domestic for Profit Corporation
Vice Presidents:
Miguel A. Medina (President),Solangie Alfonso (Vice President)

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