Individual
OMAR SANTANA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2106 S LOIS AVE, TAMPA, FL 33629-5659
(813) 844-4200
Mailing address
PO BOX 1289, TAMPA, FL 33601-1289
(813) 844-7412
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME122761
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015079000
—
FL
Enumeration date
05/20/2010
Last updated
02/16/2016
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