Individual
MR. CARLOS SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
21501 JINGLE ROAD, CHRISTMAS, FL 32709
(407) 394-8378
Mailing address
21501 JINGLE ROAD, CHRISTMAS, FL 32709
(407) 394-8378
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA56534
FL
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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