Individual
ADIS DORYS SANTOYO BANASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
180 JFK DR STE 250, ATLANTIS, FL 33462-6642
(561) 969-1777
Mailing address
280 LUGER CT, WEST PALM BEACH, FL 33415-2862
(561) 601-7755
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11028621
FL
Other
Enumeration date
09/18/2023
Last updated
10/02/2024
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