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Organization
SANTOS PRIMARY CARE MEDICAL CLINICS, PLLC
Active
Organization
SANTOS PRIMARY CARE MEDICAL CLINICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAMASTOR SANTOS PA (PROVIDER)
(352) 448-6469
Entity
Organization
Contact information
Practice address
17820 SE 109TH AVE STE 108, SUMMERFIELD, FL 34491-8968
(352) 448-6469
(352) 504-0901
Mailing address
17820 SE 109TH AVE STE 108, SUMMERFIELD, FL 34491-8968
(352) 448-6469
(352) 504-0901
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
06/29/2018
Last updated
04/05/2022
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