Individual
XIOMARA MARIE SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
89 W COPELAND DR, ORLANDO, FL 32806-2002
(321) 841-5530
(321) 843-7192
Mailing address
89 W COPELAND DR, ORLANDO, FL 32806-2002
(321) 841-5530
(321) 843-7192
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
ME122897
FL
207VM0101X
Maternal & Fetal Medicine Physician
ME122897
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014892900
—
FL
01
—
ME122897
MEDICAL LICENSE
FL
Enumeration date
10/08/2009
Last updated
11/15/2016
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