Individual
DR. BENJAMIN MALABANAN SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
619 S. MARION AVE., LAKE CITY, FL 32025
(386) 755-3016
(386) 754-6348
Mailing address
1237 NW SCENIC LAKE DRIVE, LAKE CITY, FL 32055
(386) 755-2007
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36.002195
OH
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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