Organization
GERARDO SANTOS PSYD P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERARDO SANTOS PSYD (PRESIDENT)
(305) 777-3881
Entity
Organization
Contact information
Practice address
6625 MIAMI LAKES DR, SUITE 326, MIAMI LAKES, FL 33014-2708
(305) 777-3881
(305) 777-3802
Mailing address
6625 MIAMI LAKES DR, SUITE 326, MIAMI LAKES, FL 33014-2708
(305) 777-3881
(305) 777-3802
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PY7282
LICENSE
FL
Enumeration date
10/15/2007
Last updated
10/15/2007
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