Organization
CSSS HOLDINGS OF ORANGE PARK, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS SANTIAGO (OWNER)
(904) 738-7856
Entity
Organization
Contact information
Practice address
4131 UNIVERSITY BLVD S STE 1, JACKSONVILLE, FL 32216-4346
(904) 738-7856
Mailing address
4131 UNIVERSITY BLVD S STE 1, JACKSONVILLE, FL 32216-4346
(904) 738-7856
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13959
FL
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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