Individual
ROLANDO SANTANA MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4045 WOODVILLE LN, PANAMA CITY, FL 32405-3279
(678) 608-8720
Mailing address
4045 WOODVILLE LN, PANAMA CITY, FL 32405-3279
(678) 608-8720
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
725572
NY
163WR0006X
Registered Nurse First Assistant
Primary
RN9448937
FL
246ZC0007X
Surgical Assistant
13-153
GA
Other
Enumeration date
02/27/2013
Last updated
10/06/2019
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