Provider Demographics
NPI:1811792633
Name:SAPUTO, RANDI
Entity type:Individual
Prefix:
First Name:RANDI
Middle Name:
Last Name:SAPUTO
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 1:4949 N HWY A1A APT 182
Mailing Address - Street 2:
Mailing Address - City:HUTCHINSON ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:34949-8242
Mailing Address - Country:US
Mailing Address - Phone:954-536-0233
Mailing Address - Fax:
Practice Address - Street 1:4949 N HWY A1A APT 182
Practice Address - Street 2:
Practice Address - City:HUTCHINSON ISLAND
Practice Address - State:FL
Practice Address - Zip Code:34949-8242
Practice Address - Country:US
Practice Address - Phone:954-536-0233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL162279P1006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279P1006XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredPulmonary Function Technologist