De Los Santos Florian, Roosevelt
De Los Santos Florian, Roosevelt is an individual health care provider with primary practice located at 4725 N Federal Hwy # 1371 , Fort Lauderdale FL 33308-4603. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Informatics, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. De Los Santos Florian, Roosevelt can be contacted via phone (954) 542-8724.Contact Information
Primary practice address
4725 N Federal Hwy # 1371
Fort Lauderdale FL 33308-4603
Phone: (954) 542-8724
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Informatics | 2083C0008X | ME106015 | Florida |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME106015 | Florida |
Profile Details
| NPI number | 1922337211 |
|---|---|
| LBN Legal business name | De Los Santos Florian, Roosevelt |
| Credentials | MD, MBA, MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2009 |
| Last updated | Jul 18th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922337211 | NPPES |
| Florida | MEDICAID | 001892200 |
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