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Individual

DR. PAMELA G SANTELICES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1859 SW NEWLAND WAY, LAKE CITY, FL 32025-6966
(386) 758-0003
(386) 755-7940
Mailing address
1859 SW NEWLAND WAY, LAKE CITY, FL 32025-6966
(386) 758-0003
(386) 755-7940

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME80098
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
259783700
FL
01
275981
AVMED
01
58641
BCBS
FL
Enumeration date
03/24/2006
Last updated
12/12/2016
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