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

Vivian Medina DDS PA

Organization Dentist · NPI 1295815322

Vivian Medina DDS PA is a Dentist in Tampa, Florida. Registered with an NPI since 2006.

In the registry since
2006
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

15711 Mapledale Dr Ste B
Tampa, FL 33624-3112
Phone: (813) 264-0286
Fax: (813) 960-4667
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1295815322
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vivian Medina — Dentist · (813) 264-0286
Other names Medinaponce&Ponce D.D.S,P.A
NPI enumeratedOctober 16, 2006
Last updated in NPPESAugust 22, 2020
Mailing address15711 Mapledale Dr, Suite B, Tampa, FL 33624-3112

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