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NPI Code Detail

MEDICARE: MRS. JADIRA ROSE SANTOS ARNP-C

MEDICARE: MRS. JADIRA ROSE SANTOS ARNP-C
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
1363LF0000XFamily Nurse PractitionerARNP9189478FL

General Provider Information

NPI Number : 1457790883
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JADIRA ROSE SANTOS ARNP-C
Provider Business Mailing Address
First Line : 831 SIMPSON RD
Second Line :
City : KISSIMMEE
State : FL
Zip : 34744-5328
Country : US
Telephone Number : 407-483-5757
Fax Number : 855-642-2122
Provider Business Practice Location Address
First Line : 831 SIMPSON RD
Second Line :
City : KISSIMMEE
State : FL
Zip : 34744-5328
Country : US
Telephone Number : 407-483-5757
Fax Number : 855-642-2122
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2013
Last Update Date : 01/28/2026

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Directions to “ MRS. JADIRA ROSE SANTOS ARNP-C” Practice Location

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