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NPI Code Detail

MEDICARE: MICHAEL ROBIN SANTERRE

MEDICARE: MICHAEL ROBIN SANTERRE
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
1225200000XPhysical Therapy Assistant21457FL

General Provider Information

NPI Number : 1144577800
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL ROBIN SANTERRE
Provider Business Mailing Address
First Line : 620 NW 19TH AVE
Second Line :
City : CAPE CORAL
State : FL
Zip : 33993-6819
Country : US
Telephone Number : 239-218-4604
Fax Number :
Provider Business Practice Location Address
First Line : 2629 DEL PRADO BLVD S
Second Line :
City : CAPE CORAL
State : FL
Zip : 33904-5769
Country : US
Telephone Number : 239-574-4464
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2012
Last Update Date : 08/12/2012

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Directions to “ MICHAEL ROBIN SANTERRE ” Practice Location

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