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Organization

CARLOS R SANTOS MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARLOS SANTOS MD (PRESIDENT)
(305) 653-0425
Entity
Organization

Contact information

Practice address
3164 S UNIVERSITY DR, MIRAMAR, FL 33025-3001
(954) 849-0621
(305) 653-4055
Mailing address
PO BOX 198704, ATLANTA, GA 30384-8704
(305) 653-0425
(305) 653-4055

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME81286
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
265324900
FL
Enumeration date
01/11/2010
Last updated
05/08/2014
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