Active NPI
Ian Lawrence Medina Floresta, PHARMD
- Pharmacist
- Winter Haven, FL
National Provider Identifier
1750009155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS63485
- Practice address
- 200 Avenue F NE
Winter Haven, FL 33881-4193 - Phone
- (863) 293-1121
- NPI assigned
- Aug 22, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS63485 | FL | Primary |
Addresses
Primary practice location
200 Avenue F NE
Winter Haven, FL 33881-4193
Mailing address
3978 W Hamilton Ky
West Palm Beach, FL 33411-7442
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS63485 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759017600000",
"number": "1750009155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3978 W HAMILTON KY",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334117442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 AVENUE F NE",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338814193",
"telephone_number": "863-293-1121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORESTA",
"first_name": "IAN",
"middle_name": "LAWRENCE MEDINA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-08-22",
"last_updated": "2025-09-28",
"certification_date": "2025-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS63485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.