Organization
LOURDES T SANTIAGO M.D.P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOURDES SANTIAGO (SURGEON)
(727) 483-9188
Entity
Organization
Contact information
Practice address
1305 S FORT HARRISON AVE, BUILDING C, CLEARWATER, FL 33756-3301
(727) 483-9188
(727) 412-8432
Mailing address
1305 S FORT HARRISON AVE, BUILDING C, CLEARWATER, FL 33756-3301
(727) 483-9188
(727) 412-8432
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
ME97611
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277873400
—
FL
Enumeration date
01/16/2015
Last updated
01/16/2015
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