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NPI Code Detail

MEDICARE: MARISOL ISABEL SANTAMARINA ARNP

MEDICARE:   MARISOL ISABEL SANTAMARINA  ARNP
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
1363LP2300XPrimary Care Nurse PractitionerARNP9264170FL

General Provider Information

NPI Number : 1962954222
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARISOL ISABEL SANTAMARINA ARNP
Provider Business Mailing Address
First Line : 4645 NW 8TH AVE
Second Line :
City : GAINESVILLE
State : FL
Zip : 32605-4524
Country : US
Telephone Number : 352-375-1212
Fax Number : 352-416-0818
Provider Business Practice Location Address
First Line : 3239 NW YORK DR
Second Line :
City : LAKE CITY
State : FL
Zip : 32055-8641
Country : US
Telephone Number : 386-752-0515
Fax Number : 386-752-3815
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2016
Last Update Date : 03/17/2018

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