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Individual

MS. CHRISTINE DESANTIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1879 NIGHTINGALE LANE, SUITE C-1, TAVARES, FL 32778
(352) 742-1171
(352) 742-7241
Mailing address
1879 NIGHTINGALE LANE, SUITE C-1, TAVARES, FL 32778
(352) 742-1171
(352) 742-7241

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP3053732
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
303915300
FL
Enumeration date
07/03/2006
Last updated
04/30/2013
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