Dr. Marisel Medina
Foot & Ankle Surgery
600 S Pine Island Rd # 300
Plantation
, Florida 33324-3166
Dr. Marisel Medina
Foot & Ankle Surgery
600 S Pine Island Rd # 300
Plantation
, Florida 33324-3166
(954) 473-8119
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About
Features
Specialties
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Dr. Marisel Medina
- 600 S Pine Island Rd # 300
- Plantation, FL
- Zip : 33324-3166
- Fax : (954) 473-8119
- Phone : (954) 473-6344
Second Address
- Dr. Marisel Medina
- 600 S Pine Island Rd # 300
- Plantation, FL
- Zip : 33324-3166
- Fax : (954) 473-8119
- Phone : (954) 473-6344
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0103X | Foot & Ankle Surgery | PO3198 | FL |
National Provider Identifier
| NPI | 1023052214 |
|---|---|
| Provider Name | Dr. Marisel Medina |
| First Address | Plantation, FL 33324-3166 |
| Second Address | Plantation, FL 33324-3166 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/06/2006 |
| Last Update Date | 31/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| V08600 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.