Individual
JOSE SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 LONGWOOD AVE, ROCKLEDGE, FL 32955-2828
(321) 637-2616
Mailing address
110 LONGWOOD AVE, ROCKLEDGE, FL 32955-2828
(321) 637-2616
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9191327
FL
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
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