Individual
MR. MIGUEL ANTONIO SANTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1863 SW 11 ST, APT5, MIAMI, FL 33135
(786) 222-5011
Mailing address
1863 SW 11TH ST, APT5, MIAMI, FL 33135-5141
(786) 222-5011
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5160173
FL
Other
Enumeration date
11/21/2008
Last updated
11/21/2008
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