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Individual

SANTOSH M NAIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2776 ENTERPRISE ROAD, SUITE 100, ORANGE CITY, FL 32763-8316
(386) 774-1223
(386) 774-1314
Mailing address
2776 ENTERPRISE ROAD, SUITE 100, ORANGE CITY, FL 32763-8316
(386) 774-1223
(386) 774-1314

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
ME80497
FL
207RH0003X
Hematology & Oncology Physician
Primary
ME80497
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
139082
FLORIDA HEALTHCARE
FL
01
15536
BLUE BROSS BLUE SHIELD
FL
05
264983701
FL
01
5299079
CIGNA HEALTHCARE
FL
01
592193845
UNITED HEALTHCARE
FL
Enumeration date
05/09/2006
Last updated
08/25/2011
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