Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Gary Joseph Santucci, EDS

Individual provider Marriage & Family Therapist · NPI 1174676019

Mr. Gary Joseph Santucci, EDS is a Marriage and Family Therapist in Davie, Florida. Qualified in 1974, 52 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
52
Licensed in
FL
In the registry since
2007
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Practice location Address checks out

4801 S University Dr #115
Davie, FL 33328-3839
Phone: (954) 474-1119
Fax: (954) 474-1118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence MT0000682 (FL)

Record details

NPI number1174676019
Entity typeIndividual (Type 1)
GenderMale
Credentials EDS
Sole proprietorYes
NPI enumeratedJanuary 22, 2007
Last updated in NPPESDecember 12, 2023
Certification dateDecember 12, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 1974 (52 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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