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 provides Dentist services 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.

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Practice location Address checks out

3630 Madaca Ln
Tampa, FL 33618-2057 Not confirmed with CMS for 14 years — call before visiting
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 · 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

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