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MIGUEL A MEDINA MD PA
NPI 1053584011
Internal Medicine in Titusville, FL

Active since April 10, 2008
119 S PARK AVE, TITUSVILLE, FL 32796(321) 264-8644(321) 264-8933 Get Directions Write a Review

NPPES record last updated: August 17, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Miguel A Medina Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIGUEL A MEDINA MD PA (NPI 1053584011) is a healthcare organization registered as an internal medicine in Titusville, Florida and active in the NPI registry since April 2008. The organization lists Miguel Angel Medina, Physician, as its authorized official.

NPPES Registry Identity

NPI1053584011
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMIGUEL A MEDINA MD PA
Location Address119 S PARK AVETitusville, FL 32796-3377
Mailing Address119 S Park AveTitusville, FL 32796-3377 · (321) 264-8644 · Fax (321) 264-8933
Phone(321) 264-8644
Fax(321) 264-8933
Organization SubpartNo
Authorized OfficialMiguel Angel MedinaPhysician · (321) 268-6111
Enumeration DateApril 10, 2008
Last NPPES UpdateAugust 17, 2009
✔ NPI 1053584011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME0097000
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
119 S PARK AVE, Titusville, FL 32796
Open in Google Maps ↗

Other Identifiers 1

OtherME97000FL · State License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KENNETH WALLACE D.C.
Chiropractor
119 S PARK AVE
TITUSVILLE, FL 32796
Brevard County (321) 226-1115

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miguel A Medina MD PA's NPI number?

The NPI number for Miguel A Medina MD PA is 1053584011. It was assigned to this organization in the NPPES registry on April 10, 2008.

Where is Miguel A Medina MD PA located?

Miguel A Medina MD PA is located at 119 S Park Ave, Titusville, FL 32796. The listed phone number is (321) 264-8644.

What is Miguel A Medina MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Miguel A Medina MD PA was last updated on August 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.