Individual
MARIA V SANTAELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4784 HICKORY STREAM LN, MULBERRY, FL 33860-7914
(813) 679-9469
(863) 943-5201
Mailing address
4784 HICKORY STREAM LN, MULBERRY, FL 33860-7914
(813) 679-9469
(863) 943-5201
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5177275
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5177275
LPN
FL
Enumeration date
07/30/2018
Last updated
07/30/2018
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