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Search › Florida › 390200000X

Ivan Medina

NPI 1497744874 · on the registry since 2005

Practice

Address
15043 S Dixie Hwy
Miami, FL 33176
Phone
(305) 238-2474
Organisation at this address
My Pharmacy, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-13

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