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Organization

IVETTE SANTIAGO M D P A

Active
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Organization

IVETTE SANTIAGO M D P A

Active
Other names
CENTRAL FLORIDA HEALTH
Organization subpart
No

Provider details

NPI number
Authorized official
DR. IVETTE SANTIAGO MD (PHYSICIAN)
(352) 385-0123
Entity
Organization

Contact information

Practice address
17521 US HIGHWAY 441 STE 15, MOUNT DORA, FL 32757-6737
(352) 385-0123
(352) 383-3533
Mailing address
17521 US HIGHWAY 441 STE 15, MOUNT DORA, FL 32757-6737
(352) 385-0123
(352) 383-3533

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME65818
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316966708
INDIVIDUAL PROVIDER NPI
FL
Enumeration date
06/25/2010
Last updated
06/28/2010
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