Miguel a Medina MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0097000 Issued in FL

Legal business name

MIGUEL A MEDINA MD PA

Practice address

119 S Park Ave
Titusville, FL 32796-3377

Phone

(321) 264-8644

Fax

(321) 264-8933

NPI assigned

Apr 10, 2008

Last updated

Aug 17, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Miguel Angel Medina, MD

Title

Physician

Phone

(321) 268-6111

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Zambos, MD

  • Surgery Physician
  • Titusville, FL
  • NPI 1750508446
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250467200000",
    "number": "1053584011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 S PARK AVE",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327963377",
            "telephone_number": "321-264-8644",
            "fax_number": "321-264-8933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 S PARK AVE",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327963377",
            "telephone_number": "321-264-8644",
            "fax_number": "321-264-8933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIGUEL A MEDINA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2009-08-17",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "ANGEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "321-268-6111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0097000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "ME97000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sonya Dee Merritt, APRN
• David A Meyer, RPH
• Michael J Kutryb MD PA
• McKayla Michaud, PA-C
• Michele Harrington LCSW Inc
• Heith A Miller, D.C.
• Jada Janielle Miller
• Sarah Milliken, CCC-SLP
• Mission Family Medicine LLC
• Lindsey Anne Mitchell

• Internal Medicine Physician in Titusville, FL
• Providers in Titusville, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.