Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alan Medina, MD PA

Organization Psychiatry Physician · NPI 1548545809

Alan Medina, MD PA is a Psychiatry Physician in Palm Coast, Florida. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

19 New Water Oak Dr
Palm Coast, FL 32137-6958
Phone: (917) 856-6519
Fax: (386) 597-2948
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X
Medical Specialty Clinic/Center Taxonomy 261QM2500X · Licence 170738 (NY)

Record details

NPI number1548545809
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alan Medina — President · (917) 856-6519
NPI enumeratedOctober 19, 2011
Last updated in NPPESAugust 14, 2021
Certification dateAugust 14, 2021
Mailing address19 New Water Oak Dr, Palm Coast, FL 32137-6958

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