Individual
JOSE SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3333WEST WATERS AVE, TAMPA, FL 33614-2758
(813) 932-2020
(813) 932-2001
Mailing address
3333WEST WATERS AVE, TAMPA, FL 33614-2711
(813) 932-2020
(813) 932-2001
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 4173
FL
152W00000X
Optometrist
OPT002256
GA
Other
Enumeration date
07/18/2006
Last updated
08/04/2014
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