Vivian Medina is a General Practice in Tampa, Florida. Vivian Medina practices all healthcare services and medical treatments related to General Practice. The NPI Number for Vivian Medina is 1376566521. The last update date is 2011-12-05.
Vivian Medina's current location address is 3630 Madaca Ln, Tampa, Florida. You can contact this provider via phone number 8132640286 and fax number 8139604667. The mailing address for Vivian Medina is 3630 Madaca Ln, Tampa, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Vivian Medina |
|---|---|
| Address | 3630 Madaca Ln, Tampa, Florida |
| Phone Number | 8132640286 |
| Fax Number | 8139604667 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1376566521 |
|---|---|
| Provider Enumeration Date | 2006-07-26 |
| Last Updated Date | 2011-12-05 |
Provider Mailing Address Detail
| Address | 3630 Madaca Ln |
|---|---|
| City | Tampa |
| State | Florida (FL) |
| Post Code | 336182057 |
| Phone Number | 8132640286 |
| Fax Number | 8139604667 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DN-12750 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 73649000 | FL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Vivian Medina?
The Vivian Medina has been issued the NPI (National Provider Identifier) 1376566521 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Vivian Medina?
The Vivian Medina is physically situated at 3630 Madaca Ln, in the city of Tampa, state of FL, with the postal code 336182057.
What is the Vivian Medina's area of specialization and corresponding taxonomy classification?
The Vivian Medina's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
When was the Vivian Medina's 1376566521 issued?
The Vivian Medina's 1376566521 was issued on 2006-07-26.
When was the information regarding Vivian Medina most recently updated?
The details pertaining to the Vivian Medina, including its address, specialty, and other relevant information, were last refreshed on 2011-12-05.