Individual
JOSE L SANTINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
766 N SUN DR, SUITE 3030, LAKE MARY, FL 32746-2552
(407) 444-2800
(407) 444-2810
Mailing address
807 S ORLANDO AVE, SUITE C, WINTER PARK, FL 32789-4870
(407) 894-4693
(407) 539-0469
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME0058785
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064882500
—
FL
01
—
110085540
RAILROAD MEDICARE
FL
01
—
11671
BCBS
FL
01
—
214675
AVMED
FL
Enumeration date
08/24/2005
Last updated
12/23/2009
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