Individual
TERESA D SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9611 W BROWARD BLVD, PLANTATION, FL 33324-2334
(954) 424-7000
(954) 424-6003
Mailing address
1636 S OCEAN DR, FT LAUDERDALE, FL 33316-3244
(954) 614-5520
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME56353
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
373798500
—
FL
Enumeration date
10/14/2005
Last updated
08/31/2020
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