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General NPI Number Information
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NPI Number | 1467507582
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Entity Type | Individual
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Provider Name | KATHY ANN SANTORIELLO MD
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Gender | Female
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 900 SE OCEAN BLVD SUITE 330-D
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City | STUART
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State | FL
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Zip | 34994-2471
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Country | US
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Telephone | 772-419-0505
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Fax | 772-781-7327
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Provider Business Mailing Address
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Address Line | 2802 SE DUNE DR APT 1112
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City | STUART
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State | FL
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Zip | 34996-1936
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Country | US
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Telephone | 772-419-0505
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Fax | 772-781-7327
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME 68461
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License Number State |
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