Provider Demographics
NPI:1871968891
Name:ALFRED J SANTORO LLP
Entity type:Organization
Organization Name:ALFRED J SANTORO LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALFRED
Authorized Official - Middle Name:J
Authorized Official - Last Name:SANTORO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:561-495-4950
Mailing Address - Street 1:16244 S MILITARY TRL
Mailing Address - Street 2:SUITE 760
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-6534
Mailing Address - Country:US
Mailing Address - Phone:561-495-4950
Mailing Address - Fax:561-495-4950
Practice Address - Street 1:16244 S MILITARY TRL
Practice Address - Street 2:SUITE 760
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-6534
Practice Address - Country:US
Practice Address - Phone:561-495-4950
Practice Address - Fax:561-495-4950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-02
Last Update Date:2015-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH3597111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL22168Medicare UPIN