Individual
ADAMASTOR A SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
10040 SE 42ND CT, BELLEVIEW, FL 34420-6858
(352) 274-4307
Mailing address
10040 SE 42ND CT, BELLEVIEW, FL 34420-6858
(352) 274-4307
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
PA9101931
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291307100
—
FL
Enumeration date
02/14/2006
Last updated
05/14/2008
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