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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TEODORO MEDINA, M.D.

Active

TEODORO MEDINA, M.D. is a General Practice healthcare provider located in DAVENPORT, Florida. NPI 1093852113 is currently active in the NPPES registry. Verify at CMS.

General Practice · DAVENPORT, FL

Registration Details

NPI Number
1093852113
Provider Type
Individual
Gender
Male
NPI Issued
Jan 30, 2007 (19.513261011156 yrs)
Last Updated
Dec 8, 2017
Licenses
14489 (PR)
ACN 793 (FL)

Practice Information

Address
111 WEBB DR
DAVENPORT, FL, 338373962
Browse FL providers · Browse ZIP 33837
Phone
8634219447
Fax
8634211806
Primary Specialty
General Practice
208D00000X
Additional Specialty
General Practice

Other General Practice Providers in DAVENPORT, FL

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.