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Gloria Ivonne Santiago Romero

Nurse Practitioner, Family in Dunedin, FL. Individual provider (NPI-1).

NPI number1245973643
StatusActive
Last updated in NPPESMar 14, 2023

Details

NPI
1245973643
Entity type
Individual (NPI-1)
Name
Gloria Ivonne Santiago Romero
Sex
Female
Sole proprietor
No
Enumeration date
Apr 14, 2022
Certification date
Mar 14, 2023
Last updated
Mar 14, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family11019209FLYes

Practice location

703 Virginia St
Dunedin, FL 34698-6615

Phone 727-734-4000

Mailing address

1911 Brust Ave
Tampa, FL 33612-6066

Phone 813-449-1647

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