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Individual

CLEITON SANTOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
2020 NE 163RD ST STE 207, NORTH MIAMI BEACH, FL 33162-4927
(305) 949-6461
(305) 945-8054
Mailing address
1690 SW 27TH AVE APT 410, MIAMI, FL 33145-2081
(305) 218-2852

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
PTA24677
FL

Other

Enumeration date
10/21/2015
Last updated
10/21/2015
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