Provider Demographics
NPI:1780216044
Name:SANTOS, MILTON ARNOLD (MSWI)
Entity Type:Individual
Prefix:
First Name:MILTON
Middle Name:ARNOLD
Last Name:SANTOS
Suffix:
Gender:M
Credentials:MSWI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3049 NW 26TH AVE
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33434-3645
Mailing Address - Country:US
Mailing Address - Phone:703-785-6650
Mailing Address - Fax:
Practice Address - Street 1:3049 NW 26TH AVE
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33434-3645
Practice Address - Country:US
Practice Address - Phone:703-785-6650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-05
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL179261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical