Individual
DR. JOHANN L SANTA EULALIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
421 SE OSCEOLA ST, SUITE 3, STUART, FL 34994-2505
(772) 286-0338
(772) 287-1139
Mailing address
421 SE OSCEOLA ST, STE 3, STUART, FL 34994-2505
(772) 286-0338
(772) 287-1139
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD432980
PA
207L00000X
Anesthesiology Physician
Primary
ME100397
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52185
BCBS FL
FL
Enumeration date
12/11/2007
Last updated
10/10/2008
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