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HECTOR M SANTIAGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1600 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3019
(863) 680-7000
(866) 264-8519
Mailing address
PO BOX 95004, LAKELAND, FL 33804-5004
(863) 680-7206
(863) 680-7420

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9183265
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
305084000
FL
Enumeration date
02/02/2006
Last updated
06/08/2012
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