Most Relevant Information
Provider Data
| NPI Number: | 1003676180 |
| Provider Name: | AMBAR MEDINA |
| Entity Type: | Individual |
| Taxonomy Code: | 103TB0200X |
| Specialty: | Psychologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/19/2024 |
| Last Updated: | 03/19/2024 |
Provider Practice Location
414 LAKE HOWELL RD
MAITLAND
FL
327515900
Practice Location Phone/Fax
| Phone: | 4076372633 |
| Fax: |
Provider Mailing Location
642 KENWICK CIR APT 202
CASSELBERRY
FL
327074259
Provider Mailing Phone/Fax
| Phone: | 5166032066 |
| Fax: |