Individual
HUMBERTO JAVIER SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
462 W PLANT ST, WINTER GARDEN, FL 34787-3014
(407) 960-7373
Mailing address
462 W PLANT ST, WINTER GARDEN, FL 34787-3014
(407) 960-7373
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/28/2015
Last updated
07/28/2015
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