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Dr. Mario A Santiago, MD
General Practice Physician in Orlando, Florida
NPI 1215998976

Mario A Santiago is a General Practice Physician based in Sweetwater, FL. Mario A Santiago practices in Orlando, FL and has the professional credentials of MD. The NPI Number for Mario A Santiago is 1215998976 and holds a License No. 14652 (Florida).

The current practice location address for Mario A Santiago is 1303 S Semoran Blvd, Orlando, FL and can be reached out via phone at 305-534-0076.

Location: 1303 S Semoran Blvd, Orlando, FL, 33172-2746
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215998976
Provider Name
Mario A Santiago
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1303 S Semoran Blvd, Orlando, FL, 33172-2746
Phone Number
305-534-0076
Fax Number
Provider Enumeration Date
03/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
N0716 01 FL MEDICARE
101875500 05 FL
institution
Provider Business Practice Location Address Details
Address
1303 S Semoran Blvd
City
Orlando
State
Florida
Zip
32807-2915
Phone Number
305-534-0076
Fax Number
person
Provider Business Mailing Address Details
Address
1303 S Semoran Blvd
City
Orlando
State
Florida
Zip
32807-2915
Phone Number
305-534-0076
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
14652 ()
Definition
Definition to come...
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