| Doctor Name: | CAROL SAN ANTONIO |
| NPI Number: | 1316004161 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 9324248 |
| Business Practice Address: | 1532 Sw Mapp Rd Palm City, FL - 349902446 |
| Business Phone Number: | 7722232633 |
| Business Fax Number: | 7722232502 |
| Mailing Address: | 13141 Crisa Dr, WEST PALM BEACH |
| State: | FL |
| Postal Code: | 334101442 |
| Phone Number: | 5616295092 |
| Fax Number: | |
| NPI Enumeration Date: | 01/02/2007 |
| NPI Last Update Date: | 07/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 9324248 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |