Individual provider · Type 1 NPI

Kelly Maria Medina

Medical Physician Assistant · Aventura, FL

NPI number 1225738545 Active

Practice location

2801 NE 213th St Ste 1001
Aventura, FL 33180-1265

Call (305) 466-9111 Map

Fax (305) 466-9127

Mailing address

3450 SW 124th Ave
Miramar, FL 33027-2941

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA9119158 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1225738545

Kelly Maria Medina's National Provider Identifier is 1225738545, issued on Mar 6, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Aventura, FL. The record was last updated on Jan 29, 2025.