Organization
HYDRATION SQUAD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISGELIA SANTANA MD (OWNER)
(407) 810-3933
Entity
Organization
Contact information
Practice address
10743 NARCOOSSEE RD STE A12, ORLANDO, FL 32832-6946
(407) 810-3933
Mailing address
10743 NARCOOSSEE RD STE A12, ORLANDO, FL 32832-6946
(407) 810-3933
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
01/19/2024
Last updated
01/19/2024
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