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NPI Code Detail

MEDICARE: SANTOSH M NAIR MD

MEDICARE:   SANTOSH M NAIR  MD
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
1174400000XSpecialistME80497FL
2207RH0003XHematology & Oncology PhysicianME80497FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
115536OTHERFLBLUE BROSS BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3592193845OTHERFLUNITED HEALTHCARE
4139082OTHERFLFLORIDA HEALTHCARE
55299079OTHERFLCIGNA HEALTHCARE

General Provider Information

NPI Number : 1982653713
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANTOSH M NAIR MD
Provider Business Mailing Address
First Line : 2776 ENTERPRISE ROAD
Second Line : SUITE 100
City : ORANGE CITY
State : FL
Zip : 32763-8316
Country : US
Telephone Number : 386-774-1223
Fax Number : 386-774-1314
Provider Business Practice Location Address
First Line : 2776 ENTERPRISE ROAD
Second Line : SUITE 100
City : ORANGE CITY
State : FL
Zip : 32763-8316
Country : US
Telephone Number : 386-774-1223
Fax Number : 386-774-1314
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2006
Last Update Date : 08/25/2011

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Directions to “ SANTOSH M NAIR MD” Practice Location

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