Individual
SANTIAGO NARVAEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1005 N LAKE PARKER AVE, LAKELAND, FL 33805-4723
(863) 583-4053
Mailing address
12171 SW 268TH ST, HOMESTEAD, FL 33032-8001
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9489557
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN9489557
REGISTERED NURSE LICENSE
FL
Enumeration date
08/20/2018
Last updated
08/20/2018
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