Individual provider · Type 1 NPI
Carol San Antonio, APRN
Pediatric Nurse Practitioner · Palm City, FL
NPI number
1316004161
Active
Practice location
1532 SW Mapp Rd
Palm City, FL 34990-2446
Fax (772) 223-2502
Mailing address
13141 Crisa Dr
West Palm Beach, FL 33410-1442
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 9324248 (FL) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1316004161
Carol San Antonio, APRN's National Provider Identifier is 1316004161, issued on Jan 2, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Palm City, FL. The record was last updated on Jul 10, 2013.