Search › Florida › 207N00000X
Jacquelyn Medina, DO
NPI 1780143628 · on the registry since 2019
Practice
- Address
- 1361 13th Ave S Ste 180
Jacksonville Beach, FL 32250 - Phone
- (904) 247-4300
- Organisation at this address
- De-Senesce Llc
Evolving Homes
Hector C Pagan Md Pa
Valerie Brink Lmhc Pa
Advanced Dermatology, PaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 52
Additional practice sites
- 2001 Kingsley Ave, Orange Park, FL
Registry record
- Primary taxonomy
- 207N00000X
207N00000X
- Also registered as
- 390200000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-07-03
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