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NPI Code Detail

MEDICARE: ASHLEY SALAS-SANTIAGO

MEDICARE: ASHLEY SALAS-SANTIAGO
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 PractitionerAPRN11021362FL
2163W00000XRegistered Nurse76006PR
3363LF0000XFamily Nurse Practitioner003793PR
4363L00000XNurse PractitionerAPRN11021362FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1APRN11021362OTHERFLMEDICAL LICENSE

General Provider Information

NPI Number : 1578136461
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY SALAS-SANTIAGO
Provider Business Mailing Address
First Line : PO BOX 82969
Second Line :
City : TAMPA
State : FL
Zip : 33682-2969
Country : US
Telephone Number : 813-866-0930
Fax Number :
Provider Business Practice Location Address
First Line : 8213 W WATERS AVE
Second Line :
City : TAMPA
State : FL
Zip : 33615-1822
Country : US
Telephone Number : 813-397-5300
Fax Number : 813-738-9032
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2021
Last Update Date : 05/22/2023

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Directions to “ ASHLEY SALAS-SANTIAGO ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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