Provider Demographics
NPI:1730297615
Name:TONI SANTOS INC
Entity Type:Organization
Organization Name:TONI SANTOS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TONI
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:SANTOS
Authorized Official - Suffix:
Authorized Official - Credentials:RPT AP DOM
Authorized Official - Phone:239-641-4899
Mailing Address - Street 1:480 WORTHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:MARCO ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:34145
Mailing Address - Country:US
Mailing Address - Phone:239-642-0363
Mailing Address - Fax:239-642-5437
Practice Address - Street 1:583 TALLWOOD ST
Practice Address - Street 2:#103
Practice Address - City:MARCO ISLAND
Practice Address - State:FL
Practice Address - Zip Code:34145
Practice Address - Country:US
Practice Address - Phone:239-389-4960
Practice Address - Fax:239-389-2326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-29
Last Update Date:2007-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP937171100000X
ARDOM033171100000X
FLPT4624225100000X
ARPT710225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY9616OtherBCBS
FLY9616OtherBCBS