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Individual

MR. ALVIN RAFAEL SANTA-ANA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
203 SHERWOOD DR, BRADENTON, FL 34210-4516
(786) 499-3789
(786) 499-3789
Mailing address
203 SHERWOOD DR, BRADENTON, FL 34210-4516
(786) 499-3789
(786) 499-3789

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001982000
FL
01
1184765570
NPI NUMBER
FL
Enumeration date
02/09/2007
Last updated
07/11/2019
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