Individual
MARK ANTHONY SANTOS DE LUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 W OAK ST, KISSIMMEE, FL 34741-4924
(407) 846-2266
Mailing address
1379 LASSEN ST, HAINES CITY, FL 33844-8472
(407) 761-2625
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9523080
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
RN9523080
FL
Other
Enumeration date
08/30/2025
Last updated
02/10/2026
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