GARY J. SANTUCCI, ED.S.,P.A.
NPI 1164299749
Counselor - Mental Health in Davie, FL
Active since December 05, 2023
About Gary J. Santucci, Ed.s.,p.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GARY J. SANTUCCI, ED.S.,P.A. (NPI 1164299749) is a healthcare organization registered as a mental health in Davie, Florida and active in the NPI registry since December 2023. The organization lists Gary J Santucci, Owner, as its authorized official.
NPPES Registry Identity
NPI1164299749
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameGARY J. SANTUCCI, ED.S.,P.A.
Location Address4801 S UNIVERSITY DR STE 238Davie, FL 33328-3836
Mailing Address4801 S University Dr Ste 238Davie, FL 33328-3836 · (954) 474-1119 · Fax (954) 474-1118
Phone(954) 474-1119
Organization SubpartNo
Authorized OfficialGary J SantucciOwner · (954) 474-1119
Enumeration DateDecember 5, 2023
NPPES CertifiedDecember 5, 2023
✔ NPI 1164299749 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4801 S UNIVERSITY DR STE 238, Davie, FL 33328
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164299749, enumerated as an "organization" on December 05, 2023.
The provider is located at 4801 S UNIVERSITY DR STE 238 DAVIE, FL 33328 and the phone number is (954) 474-1119.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
