Healthcare Provider Details

I. General information

NPI: 1013985332
Provider Name (Legal Business Name): JOSE E SANTORO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/11/2006
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5630 HOLLYWOOD BLVD
HOLLYWOOD FL
33021-6351
US

IV. Provider business mailing address

5630 HOLLYWOOD BLVD
HOLLYWOOD FL
33021-6351
US

V. Phone/Fax

Practice location:
  • Phone: 757-672-4240
  • Fax:
Mailing address:
  • Phone: 757-672-4240
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberME116737
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number22889
License Number StateOK
# 3
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberL3812
License Number StateTX
# 4
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberME116737
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number308260
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: