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MONTOYA, ERNESTO SANTILLAN       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: NATIVITY WALK-IN MED CLINIC
3901 STATE RD
#60
VACRICO FL 33594
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 13432
Dated: 10/20/1981
Expires: 6/30/1995
License Type: Medical Doctor
Specialty: General Practice
Physical Medicine & Rehabilitation
Pediatrics
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: PHILIPPINE MEDICAL SCHOOLS
Graduated: 3 / 1956
CME Year:
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications:
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
NATIVITY WALK-IN MED CLINIC
3901 STATE RD
#60
VACRICO FL 33594

Phone #:
Fax #:

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