Individual
CARLOS DAMIAN SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, DMO
Contact information
Practice address
1727 MARGARETS WALK RD, GREEN COVE SPRINGS, FL 32043-3760
(904) 505-4040
Mailing address
1727 MARGARETS WALK RD, GREEN COVE SPRINGS, FL 32043-3760
(904) 505-4040
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9102280
FL
Other
Enumeration date
04/11/2006
Last updated
07/08/2007
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