Individual
GAIL M SANTUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8791 CONFERENCE DR, SUITE 1, FORT MYERS, FL 33919-5822
(239) 938-3506
Mailing address
8791 CONFERENCE DR, SUITE 1, FORT MYERS, FL 33919-5822
(239) 938-3506
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
35086020
OH
2085R0202X
Diagnostic Radiology Physician
Primary
ME97249
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14879
BCBS FL
FL
05
—
278337100
—
FL
Enumeration date
05/05/2006
Last updated
04/09/2014
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