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Individual

JOSEPH P. SANTINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
60 WESTMINSTER ST N, LEHIGH ACRES, FL 33936-6518
(239) 368-9300
(239) 368-9308
Mailing address
15051 S. TAMIAMI TRAIL, SUITE 203, FORT MYERS, FL 33908
(239) 437-8810
(239) 313-2555

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1957
FL
363AM0700X
Medical Physician Assistant
PA10005012
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
E6835W
PTAN
FL
Enumeration date
05/15/2006
Last updated
06/26/2015
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