MEDICARE: PERLA JOHANA SANTANA PHEBOTOMY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246RP1900X	Phlebotomy Technician	20240228134324	FL

General Provider Information

NPI Number	:	1295687887
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PERLA JOHANA SANTANA PHEBOTOMY

Provider Business Mailing Address
First Line	:	4982 ROYAL POINT AVE
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34746-6772
Country	:	US
Telephone Number	:	407-433-1323
Fax Number	:

Provider Business Practice Location Address
First Line	:	4982 ROYAL POINT AVE
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34746-6772
Country	:	US
Telephone Number	:	407-433-1323
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2026
Last Update Date	:	02/13/2026

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