# IVETTE SANTIAGO M D P A

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CENTRAL FLORIDA HEALTH
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629389572
- **Authorized official:** DR. IVETTE SANTIAGO MD (PHYSICIAN)
- **Authorized official phone:** (352) 385-0123

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | ME65818 | FL | Yes |

## Other

- **Enumeration date:** 06/25/2010
- **Last updated:** 06/28/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1316966708 | INDIVIDUAL PROVIDER NPI | FL |