Carol San Antonio, APRN
Nurse Practitioner, Pediatrics in Palm City, FL. Individual provider (NPI-1).
NPI number1316004161
StatusActive
Last updated in NPPESJul 10, 2013
Details
- NPI
- 1316004161
- Entity type
- Individual (NPI-1)
- Name
- Carol San Antonio
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 2, 2007
- Last updated
- Jul 10, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 9324248 | FL | Yes |
Practice location
1532 Sw Mapp RdPalm City, FL 34990-2446
Phone 772-223-2633 · Fax 772-223-2502
Mailing address
13141 Crisa DrWest Palm Beach, FL 33410-1442
Phone 561-629-5092
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