Most Relevant Information
Provider Data
| NPI Number: | 1003823725 |
| Provider Name: | JUAN ANTONIO MEDINA CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | ARNP754762 |
Most Important Dates
| Enumeration Date: | 08/02/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1500 N DIXIE HWY
STE 103
WEST PALM BEACH
FL
334012712
Practice Location Phone/Fax
| Phone: | 5618338893 |
| Fax: | 5618338939 |
Provider Mailing Location
PO BOX 16068
HIGH POINT
NC
272616068
Provider Mailing Phone/Fax
| Phone: | 8884781253 |
| Fax: | 3368841643 |