NPI 1467759464

Rudy Antonio Medina, BA

Practitioner Case Management Agency West Palm Beach, FL

Practice location

Address: 1639 Forum Pl STE 7, West Palm Beach, FL 33401-2330
Phone: (561) 712-8821
Mailing address: 819 University Blvd APT 105, Jupiter, FL 33458-3062

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

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Registry record

NPI: 1467759464
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Feb 2011
Record last updated: 28 Feb 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.