Carol San Antonio, APRN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

9324248 Issued in FL

Practice address

1532 SW Mapp Rd
Palm City, FL 34990-2446

Phone

(772) 223-2633

Fax

(772) 223-2502

NPI assigned

Jan 2, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373414400000",
    "number": "1316004161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13141 CRISA DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334101442",
            "telephone_number": "561-629-5092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 SW MAPP RD",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349902446",
            "telephone_number": "772-223-2633",
            "fax_number": "772-223-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAN ANTONIO",
        "first_name": "CAROL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2013-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "9324248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Ryan, RN
• Makayla Sadecky, RBT
• Sarah Sadow
• Christopher Vincent Salomoni, PT
• Bryant Cornelius Samuels II
• Yaumara Sanchez, RBT
• Taylor Sanders
• Steven John Sanderson, ARNP
• Sandhill Cove LLC
• Sandhill Cove Properties Inc.

• Pediatric Nurse Practitioner in Palm City, FL
• Providers in Palm City, FL by specialty
• Pediatric Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.