Healthcare Provider Details

I. General information

NPI: 1093624728
Provider Name (Legal Business Name): KARLA SANTIS DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4399 N NOB HILL RD
SUNRISE FL
33351-5813
US

IV. Provider business mailing address

4399 N NOB HILL RD
SUNRISE FL
33351-5813
US

V. Phone/Fax

Practice location:
  • Phone: 954-749-0300
  • Fax:
Mailing address:
  • Phone: 954-749-0300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT35212
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: