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

Miguel a Medina MD PA

Organization Internal Medicine Physician · NPI 1053584011

Miguel a Medina MD PA is an Internal Medicine Physician in Titusville, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
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

119 S Park Ave
Titusville, FL 32796-3377
Phone: (321) 264-8644
Fax: (321) 264-8933
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME0097000 (FL)

Record details

NPI number1053584011
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Miguel Medina — Physician · (321) 268-6111
NPI enumeratedApril 10, 2008
Last updated in NPPESAugust 17, 2009
Mailing address119 S Park Ave, Titusville, FL 32796-3377

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