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EDGAR C MEDINA
NPI 1831941996
Massage Therapist in Jacksonville, FL

Active since April 03, 2024
1290 KENDALL TOWN BLVD UNIT 6313, JACKSONVILLE, FL 32225(305) 219-7703 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edgar C Medina NPPES

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

EDGAR C MEDINA (NPI 1831941996) is an individual massage therapist in Jacksonville, Florida, licensed in Florida (MA97468) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1831941996
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameEDGAR C MEDINA
Location Address1290 KENDALL TOWN BLVD UNIT 6313Jacksonville, FL 32225-7295
Mailing Address1290 Kendall Town Blvd Unit 6313Jacksonville, FL 32225-7295 · (305) 219-7703
Phone(305) 219-7703
Sole ProprietorYes
Enumeration DateApril 3, 2024
NPPES CertifiedApril 2, 2024
✔ NPI 1831941996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in FL · MA97468
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
1290 KENDALL TOWN BLVD UNIT 6313, Jacksonville, FL 32225
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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 Edgar Medina's NPI number?

The NPI number for Edgar Medina is 1831941996. It was assigned to this individual provider in the NPPES registry on April 3, 2024.

Where is Edgar Medina located?

Edgar Medina practices at 1290 Kendall Town Blvd Unit 6313, Jacksonville, FL 32225. The listed phone number is (305) 219-7703.

What is Edgar Medina's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Edgar Medina was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.