DR. BENJAMIN MALABANAN SANTOS (NPI# 1346342433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346342433 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN MALABANAN SANTOS |
| Credential | DPM |
| Practice Address |
619 S. Marion Ave. Lake City FL 32025 |
| Mailing Address |
1237 Nw Scenic Lake Drive Lake City FL 32055 |
| Practice Telephone | 3867553016 |
| Practice Fax Number | 3867546348 |
| Mailing Telephone | 3867552007 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 36.002195 | OH | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366621583 | Benjamin Sebastian Santos Jr. | Emergency Medicine | 1250 16th St, Department of Emergency Medecine, Santa Monica, CA 90404-1249 | 2007-10-25 |
| Street Address |
619 S. MARION AVE. |
| City | LAKE CITY |
| State | FL |
| Zip Code | 32025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629179940 | Gail Wells | Pharmacist | 619 S. Marion Ave., Lake City, FL 32025 | 2006-09-26 |
| 1922109321 | Valli Jeanenne Van Meter | Pharmacist | 619 S. Marion Ave., Lake City, FL 32025 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801438353 | Jennifer Bennett | Pharmacist | 347 Sw Main Blvd Suite 102, Lake City, FL 32025 | 2019-10-16 |
| 1700352838 | Robert J Sansouci IIi IIi | Physical Therapy Assistant | 560 Sw Mcfarlane Ave, Lake City, Fl, 32025, Lake City, FL 32025 | 2018-10-16 |
| 1316442783 | Emily Bailey | Developmental Therapist | 2126 Sw Sisters Welcome Rd, Lake City, FL 32025 | 2018-03-28 |
| 1811446370 | Michelle Hart | Behavioral Analyst | 260 S. Marion Avenue, Bldg. A, Suite 135, Lake City, FL 32025 | 2016-09-26 |
| 1922467646 | Irene Aponte Moreno | Nurse Practitioner | 440 Sw Perimeter Glen, Lake City, FL 32025 | 2016-02-23 |
| 1093186777 | Decarlos Scippio | Counselor | 619 Sw Baya Drive Suite 102, Lake City, FL 32025 | 2015-10-07 |
| 1497132476 | Jamecia Legree | Registered Nurse | 800 Sw Symphony Loop, Bldg 15 Apt 204, Lake City, FL 32025 | 2015-04-29 |
| 1306249149 | Mercy Home Assisted Living Facility LLC | Assisted Living Facility | 184 S.e. Beech Street, Lake City, FL 32025 | 2014-10-08 |
| 1598174344 | Karen Mcdonald | Developmental Therapist | 4523 Se County Road 252, Lake City, FL 32025 | 2014-08-06 |
| 1275944126 | Mohammad Ali Faisal Mdpa | Specialist | 1283 Sw State Rd 47, Ste 104, Lake City, FL 32025 | 2014-05-14 |
| Find all providers in zip 32025 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376644732 | Podiatry Associates of Florida Inc | Podiatrist | 1384 S.e. Baya Dr., Ste 150, Lake City, FL 32025-4888 | 2006-09-26 |
| 1306876644 | Douglas H. Kahn, Dpm, Pa | Podiatrist | 1114 East Duval Street, Lake City, FL 32055 | 2006-07-03 |
| 1649269457 | Roger Gary Beck | Podiatrist | 619 S Marion Ave, Surgical Services, Lake City, FL 32025-5808 | 2005-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295079 | Pardee Foot Clinic | Podiatrist | 1808 W International Speedway Blvd Ste 304a, Daytona Beach, FL 32114-1227 | 2020-11-04 |
| 1699393546 | Michael C. Flatley, Dpm, Pa | Podiatrist | 674 Barrington Cir, Winter Springs, FL 32708-6115 | 2020-07-08 |
| 1649895822 | Fred E Gatiher II Dpm | Podiatrist | 2 Miracle Strip Loop Ste 3, Panama City Beach, FL 32407-8412 | 2020-06-12 |
| 1780204602 | Pinnacle Foot and Ankle Centers, LLC | Podiatrist | 1801 Se Hillmoor Dr Ste A-103, Port St Lucie, FL 34952-7545 | 2020-04-21 |
| 1265081632 | Family Podiatry of Central Florida Pa | Podiatrist | 450 W Central Pkwy Fl 2, Altamonte Springs, FL 32714-2436 | 2019-09-09 |
| 1184270183 | Stephen F Levin Dpm Pa | Podiatrist | 4202 W Waters Ave Ste 6, Tampa, FL 33614-1972 | 2019-08-15 |
| 1861045155 | Olupona Foot and Ankle, LLC | Podiatrist | 1600 Nw 17th Ave, Miami, FL 33125-2327 | 2019-07-17 |
| 1356993398 | Gary Barbosa | Podiatrist | 3182 Edgemoore Drive, Palm Harbor, FL 34685 | 2019-07-10 |
| 1982262358 | Foot and Ankle Network | Podiatrist | 8323 Nw 12th St Ste 204, Doral, FL 33126-1840 | 2019-05-31 |
| 1750845491 | Gentle Touch Podiatric Care Pa | Podiatrist | 100 Golden Isles Dr Apt 610, Hallandale Beach, FL 33009-5824 | 2019-01-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.