Organization
PETER A SANTISI OD PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER A SANTISI OD (OWNER)
(321) 453-1657
Entity
Organization
Contact information
Practice address
950 N COURTENAY PKWY, SUITE 12, MERRITT ISLAND, FL 32953-4501
(321) 453-1657
Mailing address
1075 NEW HAMPTON WAY, MERRITT ISLAND, FL 32953-3215
(321) 720-4572
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
OPC4171
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DR8010
MEDICARE RAILROAD
FL
Enumeration date
10/05/2007
Last updated
04/12/2012
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