SearchFlorida363LA2200X

Ivonne Medina

NPI 1659014744 · on the registry since 2022

Practice

Address
16510 N Dale Mabry Hwy
Tampa, FL 33618
Phone
(813) 409-0047

Registry record

Primary taxonomy
363LA2200X
363LA2200X
Also registered as
163W00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-08-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida