Individual
ANTONIO A. SANTOS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME66444
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050042939
RAILROAD MEDICARE
—
01
—
25416
BCBS
FL
05
—
375642400
—
FL
Enumeration date
11/16/2005
Last updated
10/23/2008
Update your record
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