| Dr. Leonor Santos M.d. Gastroenterology, Llc | |
|
255 Citrus Tower Blvd Ste 202 Clermont FL 34711-1906 | |
| (352) 404-8840 | |
| (352) 404-8842 |
| Full Name | Dr. Leonor Santos M.d. Gastroenterology, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 255 Citrus Tower Blvd Ste 202, Clermont, Florida |
| Authorized Official Name and Position | Leonor Santos (OWNER) |
| Authorized Official Contact | 3524048840 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Leonor Santos M.d. Gastroenterology, Llc Po Box 121108 Clermont FL 34712-1108 Ph: (352) 404-8840 | Dr. Leonor Santos M.d. Gastroenterology, Llc 255 Citrus Tower Blvd Ste 202 Clermont FL 34711-1906 Ph: (352) 404-8840 |
| NPI Number | 1811292899 |
|---|---|
| Provider Enumeration Date | 01/21/2011 |
| Last Update Date | 01/24/2011 |
| Medicare PECOS PAC ID | 8921284977 |
|---|---|
| Medicare Enrollment ID | O20110509000875 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811292899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | ME77216 (Florida) | Primary |
| Provider Name | Leonor Santos |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902914815 PECOS PAC ID: 8224931027 Enrollment ID: I20040129000540 |
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