Provider Demographics
NPI:1538723440
Name:SANTORA, DARBY ANNE
Entity type:Individual
Prefix:
First Name:DARBY
Middle Name:ANNE
Last Name:SANTORA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5910 BENT PINE DR APT 107
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32822-3327
Mailing Address - Country:US
Mailing Address - Phone:904-334-3011
Mailing Address - Fax:
Practice Address - Street 1:2957 W 434 STATE ROAD
Practice Address - Street 2:#100
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32779
Practice Address - Country:US
Practice Address - Phone:407-271-4991
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-25
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist