Santos, Edgardo

Santos, Edgardo is an individual health care provider with primary practice located at 500 Se 17Th St Ste 100 , Fort Lauderdale FL 33316-2547. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Santos, Edgardo can be contacted via phone (754) 336-3426.

Contact Information

Primary practice address
500 Se 17Th St Ste 100 Fort Lauderdale FL 33316-2547
Fax: (754) 241-4659
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 15621R Louisiana
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X ME83677 Florida

Profile Details

NPI number 1639260771
LBN Legal business name Santos, Edgardo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Jul 17th, 2024 - about 2 months 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 1639260771 NPPES
Louisiana MEDICAID 1465801

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