Provider Demographics
NPI:1376818823
Name:FERMAINT, SANTIA
Entity Type:Individual
Prefix:
First Name:SANTIA
Middle Name:
Last Name:FERMAINT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:339 PARK TREE TER APT 1914
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32825-3482
Mailing Address - Country:US
Mailing Address - Phone:407-844-0795
Mailing Address - Fax:
Practice Address - Street 1:339 PARK TREE TER APT 1914
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32825-3482
Practice Address - Country:US
Practice Address - Phone:407-844-0795
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-16
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No171M00000XOther Service ProvidersCase Manager/Care Coordinator