Individual provider · Type 1 NPI
Dara Madelyn Vino, PA
Medical Physician Assistant · Lake Mary, FL
NPI number
1023288917
Active
Practice location
156 N 4th St
Lake Mary, FL 32746-2963
Fax (407) 644-4370
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | AMD-936 (HI) |
| Medical Physician Assistant | 363AM0700X | PA-2744 (CO) |
| Medical Physician Assistant Primary | 363AM0700X | PA9113919 (FL) |
Medical Physician Assistant: Definition to come...
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About NPI 1023288917
Dara Madelyn Vino, PA's National Provider Identifier is 1023288917, issued on Mar 6, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lake Mary, FL. The record was last updated on Mar 27, 2023.