Individual
PEDRO SANTIAGO DEIDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1731 POLO CLUB DR, TARPON SPRINGS, FL 34689-8023
(813) 453-3348
Mailing address
1731 POLO CLUB DR, TARPON SPRINGS, FL 34689-8023
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9316359
FL
Other
Enumeration date
03/25/2024
Last updated
04/09/2024
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