MEDICARE: SANTORO & SANTORO ENTERPRISES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency	299994557	FL

General Provider Information

NPI Number	:	1639625163
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SANTORO & SANTORO ENTERPRISES, INC.

Provider Business Mailing Address
First Line	:	137 S PEBBLE BEACH BLVD STE 204
Second Line	:
City	:	SUN CITY CENTER
State	:	FL
Zip	:	33573-5708
Country	:	US
Telephone Number	:	813-800-2273
Fax Number	:	813-337-6282

Provider Business Practice Location Address
First Line	:	137 S PEBBLE BEACH BLVD STE 204
Second Line	:
City	:	SUN CITY CENTER
State	:	FL
Zip	:	33573-5708
Country	:	US
Telephone Number	:	813-800-2273
Fax Number	:	813-337-6282

Authorized Official
Title or Position	:	CEO
Name	:	VICTOR SANTORO
Credential	:
Telephone Number	:	941-800-8882

Provider Enumeration Date	:	08/25/2016
Last Update Date	:	11/25/2020

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