Organization
JULIETA TANEDO-SANTOS MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIETA CAIBIRAN TANEDO- SANTOS MD (OWNER)
(407) 846-3100
Entity
Organization
Contact information
Practice address
817 E OAK ST, KISSIMMEE, FL 34744-5838
(407) 846-3100
Mailing address
817 E OAK ST, KISSIMMEE, FL 34744-5838
(407) 846-3100
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
ME21401
FL
261QP2300X
Primary Care Clinic/Center
Primary
ME21401
FL
Other
Enumeration date
05/27/2015
Last updated
05/27/2015
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