Healthcare Provider Details

I. General information

NPI: 1811554066
Provider Name (Legal Business Name): FELIX ANTONIO APONTE SANTOS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2019
Last Update Date: 07/18/2025
Certification Date: 07/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1846 US HIGHWAY 1 STE B
ROCKLEDGE FL
32955-2822
US

IV. Provider business mailing address

3300 S FISKE BLVD
ROCKLEDGE FL
32955-4306
US

V. Phone/Fax

Practice location:
  • Phone: 321-434-9564
  • Fax:
Mailing address:
  • Phone: 321-434-9564
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberME170815
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: