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1033693288
KRYSTAL MARIE DISANTIS
DAYTONA BEACH, FL
NPI
1033693288
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: OH APRN.CNP.0233204)
Enumeration Date
2018-09-23
Last Update Date
2021-12-15
Business Address
Mrs. KRYSTAL MARIE DISANTIS NP-C
731 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114-1603
Phone number: 786-738-9144
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Mailing Address
Mrs. KRYSTAL MARIE DISANTIS NP-C
6101 BLUE LAGOON DR STE 400
MIAMI, FL 33126-2051
Phone number: 305-500-2000
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