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Individual
MR. JOSE ANTONIO SANTIAGO SR.
Active
Individual
MR. JOSE ANTONIO SANTIAGO SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, RPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4581
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010880000
—
FL
Enumeration date
03/21/2008
Last updated
06/29/2018
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