Individual
DR. PETER ANTHONY SANTISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
950 N COURTENAY PKWY, SUITE 12, MERRITT ISLAND, FL 32953-4501
(321) 453-1657
(321) 453-1659
Mailing address
1075 NEW HAMPTON WAY, MERRITT ISLAND, FL 32953-3215
(321) 452-9768
(321) 452-9768
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4171
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002931400
—
FL
01
—
P00967051
MEDICARE RAILROAD
FL
Enumeration date
08/23/2006
Last updated
04/12/2012
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