Healthcare Provider Details

I. General information

NPI: 1942987185
Provider Name (Legal Business Name): SANDRA SANTANA JOSEPH APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2023
Last Update Date: 12/20/2025
Certification Date: 12/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3607 NW 85TH AVE
CORAL SPRINGS FL
33065-2931
US

IV. Provider business mailing address

3607 NW 85TH AVE
CORAL SPRINGS FL
33065-2931
US

V. Phone/Fax

Practice location:
  • Phone:
  • Fax:
Mailing address:
  • Phone: 954-709-4492
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11044081
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: