Individual
ERICK ENERIO SANTANA ALCANTARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3070 DYER BLVD, KISSIMMEE, FL 34741-7839
(407) 932-7930
(321) 203-4655
Mailing address
3070 DYER BLVD, KISSIMMEE, FL 34741-7839
(407) 932-7930
(321) 203-4655
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME154567
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115310100
—
FL
Enumeration date
04/04/2019
Last updated
11/11/2024
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