Individual provider · Type 1 NPI
Nydialis La Santa Medina
Speech-Language Assistant · Winter Haven, FL
NPI number
1902497704
Active
Practice location
400 N. Lake Howard Dr
Winter Haven, FL 33881
Mailing address
400 N Lake Howard Dr
Winter Haven, FL 33881
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Assistant Primary | 2355S0801X | 4165 (FL) |
Speech-Language Assistant: Definition to come...
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About NPI 1902497704
Nydialis La Santa Medina's National Provider Identifier is 1902497704, issued on Feb 3, 2021. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Winter Haven, FL. The record was last updated on Feb 3, 2021.