Organization · Type 2 NPI
Gregorio S Santos MD PA
Primary Care Clinic/Center · Kenneth City, FL
NPI number
1306156104
Active
Practice location
6125 54th Ave N Ste B
Kenneth City, FL 33709-1830
Fax (727) 521-0416
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | ME0072417 (FL) |
Primary Care Clinic/Center: Definition to come...
About NPI 1306156104
Gregorio S Santos MD PA's National Provider Identifier is 1306156104, issued on Oct 14, 2010. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Kenneth City, FL. The record was last updated on Nov 28, 2012.