Santiago, Angela K

Santiago, Angela K is an individual health care provider with primary practice located at 6420 Nw 9Th Blvd , Gainesville FL 32605-4203. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Nursing Service Providers / General Practice. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Santiago, Angela K can be contacted via phone (352) 331-2332.

Contact Information

Primary practice address
6420 Nw 9Th Blvd Gainesville FL 32605-4203
Phone: (352) 331-2332
Fax: (352) 331-6515
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP9217962 Florida
Nursing Service Providers / General Practice 163WG0000X RN9217962 Florida

Profile Details

NPI number 1477680593
LBN Legal business name Santiago, Angela K
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated Jan 22nd, 2014 - about 10 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477680593 NPPES
Florida MEDICAID 308900200

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