Individual
MR. EMMANUEL JOSEPH SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
7209 CURRY FORD ROAD, ORLANDO, FL 32822
(407) 592-6827
Mailing address
4232 ANDOVER CAY BLVD, ORLANDO, FL 32825
(407) 592-6827
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OTA11141
FL
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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