Individual
STEPHANIE RODRIGUEZ SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10000 BAY PINES BLVD, BAY PINES, FL 33744-8200
(727) 398-6661
Mailing address
10000 BAY PINES BLVD, BAY PINES, FL 33744-8200
(727) 398-6661
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
036142871
IL
207U00000X
Nuclear Medicine Physician
125065384
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036142871
PERMANENT MEDICAL LICENSE NUMBER
IL
Enumeration date
07/19/2013
Last updated
03/12/2018
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