Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Laureano Antonio Santiago

Individual provider Medical Physician Assistant · NPI 1043896368

Laureano Antonio Santiago is a Medical Physician Assistant in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2021.

Licensed in
FL
In the registry since
2021

Practice location Address checks out

2080 Child St
Jacksonville, FL 32214-5650
Phone: (904) 542-7300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9116787 (FL)

Record details

NPI number1043896368
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 18, 2021
Last updated in NPPESSeptember 19, 2023
Certification dateSeptember 19, 2023

Other providers in Jacksonville