Provider Demographics
NPI:1033281217
Name:SANTO, BONNIE K (DC)
Entity Type:Individual
Prefix:DR
First Name:BONNIE
Middle Name:K
Last Name:SANTO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 JONES CREEK DR
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-7700
Mailing Address - Country:US
Mailing Address - Phone:561-747-1306
Mailing Address - Fax:
Practice Address - Street 1:1640 CYPRESS DR
Practice Address - Street 2:UNIT B
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33469-3175
Practice Address - Country:US
Practice Address - Phone:561-744-8766
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2009-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8358111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL88267OtherBLUE CROSS BLUE SHIELD
FL020631642OtherTAX IDENTIFICATION
FLE7504Medicare ID - Type Unspecified