Healthcare Provider Details

I. General information

NPI: 1518660497
Provider Name (Legal Business Name): JOEL SANTANA DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/22/2023
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 CELEBRATION PL STE 206
CELEBRATION FL
34747-5434
US

IV. Provider business mailing address

HCA FLORIDA OAK HILL HOSPITAL
BROOKSVILLE FL
34613
US

V. Phone/Fax

Practice location:
  • Phone: 321-939-2001
  • Fax: 321-939-2001
Mailing address:
  • Phone: 352-592-2757
  • Fax: 352-597-6173

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPO4790
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: