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Individual

TONY DE LA ROSA SANTANA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
660 PALM SPRINGS DR STE C, ALTAMONTE SPRINGS, FL 32701-7864
(407) 332-9871
Mailing address
1900 HUNT AVENUE, BRONX, NY 10462
(347) 881-8539

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
14-462
CO

Other

Enumeration date
10/06/2014
Last updated
05/11/2021
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