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NPI 1851608632

NPI 1851608632 : SANTIAGO M. HOYOS, M.D., P.A. : LAND O LAKES, FL

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General NPI Number Information
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    NPI Number           |    1851608632
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    Entity Type          |    Organization 
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    Legal Business Name  |    SANTIAGO M. HOYOS, M.D., P.A. 
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Dates
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    Enumeration Date     |    09/01/2010
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    Last Update Date     |    11/16/2011
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Provider Practice Location Address
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    Address Line         |    7040 LAND O LAKES BLVD UNIT 101
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    City                 |    LAND O LAKES
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    State                |    FL
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    Zip                  |    34638-3232
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    Country              |    US
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    Telephone            |    813-996-4932
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    Fax                  |    813-996-9713
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Provider Business Mailing Address
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    Address Line         |    7040 LAND O LAKES BLVD UNIT 101
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    City                 |    LAND O LAKES
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    State                |    FL
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    Zip                  |    34638-3232
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    Country              |    US
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    Telephone            |    813-996-4932
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    Fax                  |    813-996-9713
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Authorized Official
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    Title or Position    |    DOCTOR/ OWNER
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    Name                 |    DR. SANTIAGO M HOYOS 
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    Credential           |    M.D.,P.A.
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    Telephone            |    813-996-4932
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    ME92676
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    034089
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    License Number State |    FL
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