Healthcare Provider Details

I. General information

NPI: 1205000486
Provider Name (Legal Business Name): MICHAEL D SANTONE,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2008
Last Update Date: 04/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

313 FLORIDA BLVD
NEW ORLEANS LA
70124-1805
US

IV. Provider business mailing address

313 FLORIDA BLVD
NEW ORLEANS LA
70124-1805
US

V. Phone/Fax

Practice location:
  • Phone: 985-781-0548
  • Fax:
Mailing address:
  • Phone: 985-781-0548
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL D SANTONE
Title or Position: OWNER
Credential: APRN
Phone: 985-781-0548