Doctor Name: | MRS. JEAN MARIE PALLAS SANTAGUIDA |
NPI Number: | 1396033841 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | ARNP2098562 |
Business Practice Address: | 91500 Overseas Hwy Mariners Hospital Tavernier, FL - 33070 |
Business Phone Number: | 3054343000 |
Business Fax Number: | |
Mailing Address: | Po Box 698, LONG KEY |
State: | FL |
Postal Code: | 330010698 |
Phone Number: | 3053041552 |
Fax Number: | |
NPI Enumeration Date: | 07/19/2011 |
NPI Last Update Date: | 12/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | ARNP2098562 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |