Gary J. Santucci, Ed.s.,p.a. | |
4801 S University Dr Ste 238 Davie FL 33328-3836 | |
(954) 474-1119 | |
Not Available |
Full Name | Gary J. Santucci, Ed.s.,p.a. |
---|---|
Speciality | Counselor |
Location | 4801 S University Dr Ste 238, Davie, Florida |
Authorized Official Name and Position | Gary J Santucci (OWNER) |
Authorized Official Contact | 9544741119 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Gary J. Santucci, Ed.s.,p.a. 4801 S University Dr Ste 238 Davie FL 33328-3836 Ph: (954) 474-1119 | Gary J. Santucci, Ed.s.,p.a. 4801 S University Dr Ste 238 Davie FL 33328-3836 Ph: (954) 474-1119 |
NPI Number | 1164299749 |
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Provider Enumeration Date | 12/05/2023 |
Last Update Date | 12/05/2023 |
Certification Date | 12/05/2023 |
Medicare PECOS PAC ID | 2668822974 |
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Medicare Enrollment ID | O20231228003917 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164299749 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Gary J Santucci |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1174676019 PECOS PAC ID: 6204072507 Enrollment ID: I20231228003924 |
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