Individual
SONIA AREVALO SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7074 GROVE RD, BROOKSVILLE, FL 34609-8658
(352) 540-9335
Mailing address
PO BOX 428, NEW PORT RICHEY, FL 34656-0428
(727) 841-4200
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME28687
FL
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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