NPI 1720844905

Gabriel Antonio Medina, RD

Practitioner Nutritionist Orlando, FL

Practice location

Address: 5004 Savannah River Way APT 313, Orlando, FL 32839-5070
Phone: (407) 922-9903

Registered specialties

Nutritionist Primary

Dietary & Nutritional Service Providers Taxonomy 133N00000X Licence 086295766 (FL)

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Registry record

NPI: 1720844905
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Feb 2024
Record last updated: 26 Feb 2024

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.