| Peter A Santisi Od Pl | |
|
950 N Courtenay Pkwy Suite 12 Merritt Island FL 32953-4501 | |
| (321) 453-1657 | |
| Not Available |
| Full Name | Peter A Santisi Od Pl |
|---|---|
| Speciality | Clinic/Center |
| Location | 950 N Courtenay Pkwy, Merritt Island, Florida |
| Authorized Official Name and Position | Peter A Santisi (OWNER) |
| Authorized Official Contact | 3214531657 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter A Santisi Od Pl 1075 New Hampton Way Merritt Island FL 32953-3215 Ph: (321) 720-4572 | Peter A Santisi Od Pl 950 N Courtenay Pkwy Suite 12 Merritt Island FL 32953-4501 Ph: (321) 453-1657 |
| NPI Number | 1912195785 |
|---|---|
| Provider Enumeration Date | 10/05/2007 |
| Last Update Date | 04/12/2012 |
| Medicare PECOS PAC ID | 0749379626 |
|---|---|
| Medicare Enrollment ID | O20071129000498 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912195785 | NPI | - | NPPES |
| DR8010 | Other | FL | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | OPC4171 (Florida) | Primary |
| Provider Name | Peter A Santisi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619083219 PECOS PAC ID: 5193820165 Enrollment ID: I20070419000409 |
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