PETER A SANTISI OD PL
Ambulatory Health at Courtenay Pkwy, Merritt Island, FL

License number
Florida OPC4171
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: PETER A SANTISI OD
Title: OWNER
Phone: (321) 453-1657
Address
Address
950 N Courtenay Pkwy SUITE 12, Merritt Island, FL 32953
National Provider ID: 1912195785
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PETER A. SANTISI, O.D., P.L

950 N Courtenay Pkwy SUITE 12, Merritt Island, FL 32953

Industry:
Optometrist's Office
Doing business as:
Peter Santisi OD Pl
Registration:
Aug 28, 2006
State ID:
L06000084610
Business type:
Florida Limited Liability Company
Member, Od, Owner:
Peter Ao.d. Santisi (Member, Od, Owner), 950 N Courtenay Pkwy, Merritt Island, FL 32953 (Physical)
Agent:
Lee Garner,360 Tangerine Ave, Merritt Island, FL 32953 (Physical)
EIN:
20-5518729

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