NPI 1548545809 · live from the CMS NPI Registry
Alan Medina, MD PA
Psychiatry & Neurology, Psychiatry in Palm Coast, FL. National Provider Identifier 1548545809, active.
NPI record
| NPI | 1548545809 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Psychiatry 2084P0800X |
| Practice location | 19 New Water Oak Dr, Palm Coast, FL 32137 |
| Practice phone | 917-856-6519 |
| Enumerated | October 19, 2011 |
| Last updated | August 14, 2021 |
| Authorized official | Alan Medina, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center, Medical Specialty | 261QM2500X | 170738 (NY) |
| Psychiatry & Neurology, Psychiatry primary | 2084P0800X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.