Provider Demographics
NPI:1538217815
Name:SAN ANTONIO, MARIA C (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:C
Last Name:SAN ANTONIO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2000 CYPRESS CROSSING DR STE A
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32837-8600
Mailing Address - Country:US
Mailing Address - Phone:407-515-1507
Mailing Address - Fax:407-515-8555
Practice Address - Street 1:2000 CYPRESS CROSSING DR STE A
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837-8600
Practice Address - Country:US
Practice Address - Phone:407-515-1507
Practice Address - Fax:407-515-8555
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2021-09-01
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Provider Licenses
StateLicense IDTaxonomies
FLME105879207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCV282XMedicare PIN