Provider Demographics
NPI:1376053769
Name:SANTANA, CHRISTIANE (AP)
Entity Type:Individual
Prefix:
First Name:CHRISTIANE
Middle Name:
Last Name:SANTANA
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:CHRISTIANE
Other - Middle Name:
Other - Last Name:SANTANA-ARAUJO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AP
Mailing Address - Street 1:2300 W SAMPLE RD STE 213
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33073-3048
Mailing Address - Country:US
Mailing Address - Phone:954-366-2833
Mailing Address - Fax:954-366-2833
Practice Address - Street 1:2300 W SAMPLE RD STE 213
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33073
Practice Address - Country:US
Practice Address - Phone:954-366-2833
Practice Address - Fax:954-366-2833
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-11
Last Update Date:2019-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3877171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist