Doctor Name: | MICHAEL G SANTOMAURO |
NPI Number: | 1073675591 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D |
License Number: | A96534 |
Business Practice Address: | 1717 N E St Suite 430 Pensacola, FL - 325016339 |
Business Phone Number: | 8504378711 |
Business Fax Number: | |
Mailing Address: | 1717 N E St, Suite 430 PENSACOLA |
State: | FL |
Postal Code: | 325016339 |
Phone Number: | 8504378711 |
Fax Number: | |
NPI Enumeration Date: | 12/14/2006 |
NPI Last Update Date: | 05/05/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A96534 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |