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

Vivian Medina DDS PA

Organization Dentist · NPI 1316295223

Vivian Medina DDS PA is a Dentist in Tampa, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3630 Madaca Ln
Tampa, FL 33618-2057
Phone: (813) 264-0286
Fax: (813) 960-4667
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN12750 (FL)

Record details

NPI number1316295223
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vivian Medina — Owner · (813) 264-0286
NPI enumeratedAugust 27, 2012
Last updated in NPPESAugust 27, 2012
Mailing address3630 Madaca Ln, Tampa, FL 33618-2057

Other providers in Tampa