Individual
DR. SHIRLEY IVELESSE SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 E OSCEOLA PKWY, KISSIMMEE, FL 34744-1607
(407) 847-7910
(407) 932-2432
Mailing address
308 W BASS ST, KISSIMMEE, FL 34741-5001
(407) 483-8801
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ACN1031
FL
Other
Enumeration date
09/12/2006
Last updated
06/02/2021
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