Provider Demographics
NPI:1972911741
Name:DR. PETER J SATTO
Entity Type:Organization
Organization Name:DR. PETER J SATTO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:J
Authorized Official - Last Name:SATTO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:386-848-2838
Mailing Address - Street 1:104 SAN LUCIA DR
Mailing Address - Street 2:
Mailing Address - City:DEBARY
Mailing Address - State:FL
Mailing Address - Zip Code:32713-5421
Mailing Address - Country:US
Mailing Address - Phone:386-848-2838
Mailing Address - Fax:
Practice Address - Street 1:770 MONROE RD
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32771-8877
Practice Address - Country:US
Practice Address - Phone:386-848-2838
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-24
Last Update Date:2014-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9388111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX52041Medicare PIN