MEDICARE: SARANTOS CHIROPRACTIC PL

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	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1376810531
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SARANTOS CHIROPRACTIC PL

Provider Business Mailing Address
First Line	:	12264 TAMIAMI TRL E
Second Line	:	SUITE 201
City	:	NAPLES
State	:	FL
Zip	:	34113-7942
Country	:	US
Telephone Number	:	239-417-4001
Fax Number	:	239-352-7770

Provider Business Practice Location Address
First Line	:	12264 TAMIAMI TRL E
Second Line	:	SUITE 201
City	:	NAPLES
State	:	FL
Zip	:	34113-7942
Country	:	US
Telephone Number	:	239-417-4001
Fax Number	:	239-352-7770

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	DR. MELISSA SARANTOS
Credential	:	D.C.
Telephone Number	:	239-272-0264

Provider Enumeration Date	:	11/16/2011
Last Update Date	:	01/04/2012

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