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

JACQUELYN MEDINA, DO

Active

JACQUELYN MEDINA, DO is a Dermatology healthcare provider located in JACKSONVILLE BEACH, Florida. NPI 1780143628 is currently active in the NPPES registry. Verify at CMS.

Dermatology · JACKSONVILLE BEACH, FL

Registration Details

NPI Number
1780143628
Provider Type
Individual
Gender
Female
NPI Issued
Mar 19, 2019 (7.4237407749676 yrs)
Last Updated
Jul 3, 2023
License
OS19989 (FL)

Practice Information

Address
1361 13TH AVE S STE 180
JACKSONVILLE BEACH, FL, 322503235
Browse FL providers · Browse ZIP 32250
Phone
9042474300
Primary Specialty
Dermatology
207N00000X
Additional Specialty
Dermatology

Other Dermatology Providers in JACKSONVILLE BEACH, FL

Name Credential NPI
MRS. CHRISTINE SIEW-PUN NG MD 1558441980
DR. ALISON O. MOON M.D. 1740349950
STEPHANIE ORTMAN M.D. 1053679647
INES KEVRIC O'SHAUGHNESSY MD 1740624188
MARY ELIZABETH ANDERSON MD 1265960264
DANIELLE K REIMER MD 1215432794
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.