Individual
RAYMOND SANTUCCI II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16420 HEALTHPARK COMMONS DR, FORT MYERS, FL 33908-9621
(239) 985-1925
(239) 321-6044
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 985-1925
(239) 321-6044
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME 99967
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME 99967
FL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
ME 99967
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11336
BCBS OF FL
FL
05
—
2613158
—
OH
05
—
280282100
—
FL
01
—
313574
AVMED
FL
01
—
7544875
AETNA
FL
01
—
9455421
CIGNA
FL
01
—
990635
WELLCARE
FL
01
—
P01319839
RR MEDICARE
FL
01
—
P203272
OPTIMUM
FL
01
—
P305702
FREEDOM
FL
Enumeration date
06/17/2006
Last updated
08/20/2024
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