Individual
CARLOS MANUEL SANTANA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8340 STONE RUN CT, TAMPA, FL 33615-1879
(813) 712-1726
(813) 925-4640
Mailing address
28944 LONG MEADOW LOOP, WESLEY CHAPEL, FL 33543-6472
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11007844
FL
Other
Enumeration date
07/06/2020
Last updated
03/08/2023
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