Organization
LOURDES T SANTIAGO M D P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOURDES TERESA SANTIAGO MD (OWNER)
(727) 415-8492
Entity
Organization
Contact information
Practice address
715 PINELLAS ST, CLEARWATER, FL 33756-3426
(727) 443-9198
Mailing address
715 PINELLAS ST, CLEARWATER, FL 33756-3426
(727) 443-9198
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
ME
FL
Other
Enumeration date
01/16/2008
Last updated
02/26/2008
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