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Organization

KATHY SANTORIELLO MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KATHY A SANTORIELLO M.D. (PRESIDENT)
(772) 419-0505
Entity
Organization

Contact information

Practice address
900 SE OCEAN BLVD, SUITE 330 D, STUART, FL 34994-2471
(772) 419-0505
(772) 781-7327
Mailing address
6860 SE HARBOR CIR, STUART, FL 34996-1968
(772) 419-0505
(772) 781-7327

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME68461
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
43005
BCBS
FL
Enumeration date
12/04/2007
Last updated
06/05/2013
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