Organization
GREGORIO S SANTOS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORIO S SANTOS MD (OWNER)
(727) 521-9467
Entity
Organization
Contact information
Practice address
6125 54TH AVE N STE B, KENNETH CITY, FL 33709-1830
(727) 521-9467
(727) 521-0416
Mailing address
6125 54TH AVE N STE B, KENNETH CITY, FL 33709-1830
(727) 521-9467
(727) 521-0416
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME0072417
FL
Other
Enumeration date
10/14/2010
Last updated
11/28/2012
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