Individual
DAVID SANTIAGO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
6821 W HILLSBOROUGH AVE, SUITE 18, TAMPA, FL 33634-5003
(813) 443-4593
(813) 443-4595
Mailing address
2286 CEDAR TRACE CIR, TAMPA, FL 33613-2586
(813) 480-8113
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA57107
FL
Other
Enumeration date
10/16/2009
Last updated
10/16/2009
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