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Individual

DR. CARLOS MANUEL SANTOS DE JESUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12470 TELECOM DR STE 100, TEMPLE TERRACE, FL 33637-0904
(813) 779-6303
(888) 977-1998
Mailing address
12470 TELECOM DR STE 100, TEMPLE TERRACE, FL 33637-0904
(813) 779-6303
(888) 977-1998

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME118872
FL
208M00000X
Hospitalist Physician
ME118872
FL

Other

Enumeration date
08/11/2010
Last updated
05/05/2021
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