Endara-Bravo, Andres Santiago

Endara-Bravo, Andres Santiago is an individual health care provider with primary practice located at 305 Memorial Medical Pkwy Ste 307 , Daytona Beach FL 32117-5169. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Endara-Bravo, Andres Santiago can be contacted via phone (386) 231-4351.

Contact Information

Primary practice address
305 Memorial Medical Pkwy Ste 307 Daytona Beach FL 32117-5169
Phone: (386) 231-4351
Fax: (386) 231-4352
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 2015-00560 North Carolina
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X ME112358 Florida
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X ME130498 Florida

Profile Details

NPI number 1972795599
LBN Legal business name Endara-Bravo, Andres Santiago
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2007
Last updated Jan 18th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972795599 NPPES
Florida Other ME112358 STATE LICENSE
Florida Other S6608 STATE LICENSE
Florida Other 2015-00560 STATE LICENSE

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