Individual
CAROLINE M SANTILLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6885 BELFORT OAKS PL STE 110, JACKSONVILLE, FL 32216-6281
(904) 652-0373
(904) 652-0378
Mailing address
PO BOX 45443, SALT LAKE CITY, UT 84145-0443
(904) 202-1032
(904) 376-4107
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
57446
CA
363A00000X
Physician Assistant
9112832
FL
363A00000X
Physician Assistant
Primary
PA9112832
FL
Other
Enumeration date
01/06/2020
Last updated
09/13/2023
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