NPI 1497718290

Carlos Damian Santiago, PACDMO

Practitioner Physician Assistant Green Cove Springs, FL

Practice location

Address: 1727 Margarets Walk Rd, Green Cove Springs, FL 32043-3760
Phone: (904) 505-4040

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 9102280 (FL)

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Registry record

NPI: 1497718290
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Apr 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.