Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RG0300X | Geriatric Medicine | ME 117918 | FL |
Y | 207RH0002X | Hospice and Palliative Medicine | ME 117918 | FL |
NPI | 1023307634 |
---|---|
Provider Name | Dr. Suleyki Medina |
First Address | Atlanta, GA 30374-3144 |
Second Address | Miami, FL 33176-2118 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2011 |
Last Update Date | 09/02/2022 |