Individual
MRS. CHANDROUTIE DAISY SANTOO-VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-BC
Contact information
Practice address
3900 UNIVERSITY BLVD S STE 2, JACKSONVILLE, FL 32216-4331
(904) 760-4904
Mailing address
1526 GARFIELD ST, HOLLYWOOD, FL 33020-3749
(772) 485-9649
(954) 921-1902
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3037962
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105831900
—
FL
Enumeration date
09/21/2006
Last updated
04/27/2021
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