Individual
TAILY SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
285 NW 27TH AVE STE 8, MIAMI, FL 33125-5132
(786) 502-8969
(786) 803-8226
Mailing address
285 NW 27TH AVE STE 8, MIAMI, FL 33125-5132
(786) 502-8969
(786) 803-8226
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
01/25/2018
Last updated
01/25/2018
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