Individual
JOSEPH DESANTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
1580 NW 10TH AVE, 2ND FLOOR, MIAMI, FL 33136-1013
(305) 243-4546
(305) 243-5562
Mailing address
1580 NW 10TH AVE, 2ND FLOOR, MIAMI, FL 33136-1013
(305) 243-4546
(305) 243-5562
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP2865622
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3031454-00
—
FL
Enumeration date
01/16/2007
Last updated
03/01/2012
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