Male or Other

Dr. Alan Medina M.D.

Psychiatry Physician in Palm Coast, FL(View on Map)

Full Name

Dr. Alan Medina M.D.

NPI Number

1598841439

NPI Type

Individual Provider

Gender

Male

Enumeration Date

10/31/2006

Specialties

(Taxonomies)

Code

2084P0800X

Primary Taxonomy

Yes

Licenses

State

Florida
New York

License Number

715678
170738

Contact
Information

Purpose

Mailing
Location

Address

19 NEW WATER OAK DR
19 NEW WATER OAK DR

City

Palm Coast
Palm Coast

State

FL
FL

Postal Code

32137-6958
32137-6958

Country

US
US

Telephone Number

(917) 856-6519
(917) 856-6519

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/10/2020

Provider Address

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