# HYDRATION SQUAD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972364685
- **Authorized official:** LISGELIA SANTANA MD (OWNER)
- **Authorized official phone:** (407) 810-3933

## Contact information

- **Practice address:** 10743 NARCOOSSEE RD STE A12, ORLANDO, FL 32832-6946
- **Practice address phone:** (407) 810-3933
- **Mailing address:** 10743 NARCOOSSEE RD STE A12, ORLANDO, FL 32832-6946
- **Mailing address phone:** (407) 810-3933

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/19/2024
- **Last updated:** 01/19/2024