Endara-Bravo, Andres Santiago
Endara-Bravo, Andres Santiago is an individual health care provider with primary practice located at 305 Memorial Medical Pkwy Ste 307 , Daytona Beach FL 32117-5169. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Endara-Bravo, Andres Santiago can be contacted via phone (386) 231-4351.Contact Information
Primary practice address
305 Memorial Medical Pkwy Ste 307
Daytona Beach FL 32117-5169
Phone: (386) 231-4351
Fax: (386) 231-4352
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 2015-00560 | North Carolina |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | ME112358 | Florida |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | ME130498 | Florida |
Profile Details
| NPI number | 1972795599 |
|---|---|
| LBN Legal business name | Endara-Bravo, Andres Santiago |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2007 |
| Last updated | Jan 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 | 1972795599 | NPPES |
| Florida | Other | ME112358 | STATE LICENSE |
| Florida | Other | S6608 | STATE LICENSE |
| Florida | Other | 2015-00560 | STATE LICENSE |
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