MEDICARE: IZABELLA SANTOS

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	225700000X	Massage Therapist	MA83665	FL

General Provider Information

NPI Number	:	1134070899
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IZABELLA SANTOS

Provider Business Mailing Address
First Line	:	3427 MOOG RD
Second Line	:
City	:	HOLIDAY
State	:	FL
Zip	:	34691-1119
Country	:	US
Telephone Number	:	727-315-2025
Fax Number	:

Provider Business Practice Location Address
First Line	:	925 FLORIDA AVE
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34683-4224
Country	:	US
Telephone Number	:	727-315-2025
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2026
Last Update Date	:	02/06/2026

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Directions to “ IZABELLA SANTOS ” Practice Location

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