Provider Demographics
NPI:1477954063
Name:GARCED SANTIAGO, ANNETTE MARIE (AUD)
Entity type:Individual
Prefix:DR
First Name:ANNETTE
Middle Name:MARIE
Last Name:GARCED SANTIAGO
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7512 DR PHILLIPS BLVD STE 90
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-5157
Mailing Address - Country:US
Mailing Address - Phone:407-849-6520
Mailing Address - Fax:407-849-6522
Practice Address - Street 1:7512 DR PHILLIPS BLVD STE 90
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-5157
Practice Address - Country:US
Practice Address - Phone:407-849-6520
Practice Address - Fax:407-849-6522
Is Sole Proprietor?:No
Enumeration Date:2014-09-15
Last Update Date:2015-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY1960231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist