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Santa Rosa De Lima Medical Pa
Specialist in Orange City, Florida
NPI 1679538664

Santa Rosa De Lima Medical Pa is a Specialist based in Lake Mary, FL. Santa Rosa De Lima Medical Pa practices in Orange City, FL. The NPI Number for Santa Rosa De Lima Medical Pa is 1679538664 and holds a License No. ME70874 (Florida).

The current practice location address for Santa Rosa De Lima Medical Pa is 1055 Saxon Blvd, Orange City, FL and can be reached out via phone at 407-268-5415.

Location: 1055 Saxon Blvd, Orange City, FL, 32746-2608
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679538664
Provider Name
Santa Rosa De Lima Medical Pa
Credential
Provider Entity Type
Organization
Address
1055 Saxon Blvd, Orange City, FL, 32746-2608
Phone Number
407-268-5415
Fax Number
Provider Enumeration Date
04/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
150170 01 FL HEALTHEASE
94709 01 FL BC/BS
000830802 01 FL HUMANA
13935 01 FL FL MEMORIAL HEALTH NETWOR
263393100 05 FL
CH6285 01 FL RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
1055 Saxon Blvd
City
Orange City
State
Florida
Zip
32763-8468
Phone Number
407-268-5415
Fax Number
person
Provider Business Mailing Address Details
Address
1055 Saxon Blvd
City
Orange City
State
Florida
Zip
32763-8468
Phone Number
407-268-5415
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME70874 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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