Individual
MR. ROBERT SAMUEL DESANTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
4258 67TH AVENUE CIR E, SARASOTA, FL 34243-5101
(941) 993-9606
Mailing address
4258 67TH AVENUE CIR E, SARASOTA, FL 34243-5101
(941) 993-9606
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL1309
FL
390200000X
Student in an Organized Health Care Education/Training Program
AL-1309
FL
Other
Enumeration date
01/29/2007
Last updated
05/06/2010
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