MEDICARE: PATRICIA SUSAN SANTOS MPT

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	225100000X	Physical Therapist	19601	MD
2	225100000X	Physical Therapist	24340	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	M9051	OTHER	FL	FL MEDICARE

General Provider Information

NPI Number	:	1467605600
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA SUSAN SANTOS MPT

Provider Business Mailing Address
First Line	:	3300 S FISKE BLVD
Second Line	:
City	:	ROCKLEDGE
State	:	FL
Zip	:	32955-4306
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	220 S COURTENAY PKWY STE B
Second Line	:
City	:	MERRITT ISLAND
State	:	FL
Zip	:	32952-4893
Country	:	US
Telephone Number	:	999-999-9999
Fax Number	:

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

Provider Enumeration Date	:	10/31/2008
Last Update Date	:	11/17/2020

Similar Medicare Providers

1124208319 — MS. ELSA MARIE CLARK MPT
Practice Location Address:

220 S COURTENAY PKWY STE B
MERRITT ISLAND, FL
32952-4893

Practice Phone: 321-434-5820
Practice Fax:

1649379157 — DAVID R MELCHIONE MSPT
Practice Location Address:

220 S COURTENAY PKWY STE B
MERRITT ISLAND, FL
32952-4893

Practice Phone: 321-434-5820
Practice Fax: 321-434-5821

1780944520 — MRS. LISA ANNE BLACK ARNP
Practice Location Address:

220 S COURTENAY PKWY , SUITE B
MERRITT ISLAND, FL
32952-4893

Practice Phone: 321-868-5815
Practice Fax:

1912249525 — LOUISE R ANDREWS
Practice Location Address:

220 S COURTENAY PKWY STE B
MERRITT ISLAND, FL
32952-4893

Practice Phone: 321-434-5820
Practice Fax: 321-434-5821

1023432044 — JENNY ELIZABETH MURDOCK LCSW
Practice Location Address:

220 S COURTENAY PKWY , SUITE B
MERRITT ISLAND, FL
32952-4893

Practice Phone: 321-868-5815
Practice Fax: 321-453-2994

1790163582 — RYAN LUKE STOLTZFUS DPT
Practice Location Address:

220 S COURTENAY PKWY STE B
MERRITT ISLAND, FL
32952-4893

Practice Phone: 321-434-5820
Practice Fax: 321-434-5821

Directions to “ PATRICIA SUSAN SANTOS MPT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.