Ronda Lee Panucci in Crestview - Massage Therapist
Ronda Lee Panucci - NPI 1508895368
Ronda Lee Panucci is a Massage Therapist in Crestview, Florida. Ronda Lee Panucci practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Ronda Lee Panucci is 1508895368. The last update date is 2007-07-08.
Ronda Lee Panucci's current location address is 1078 S Ferdon Blvd, Crestview, Florida. You can contact this provider via phone number 8506831125 and fax number 8506830981. The mailing address for Ronda Lee Panucci is 1078 S Ferdon Blvd, Crestview, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ronda Lee Panucci |
|---|---|
| Address | 1078 S Ferdon Blvd, Crestview, Florida |
| Phone Number | 8506831125 |
| Fax Number | 8506830981 |
| Sole Proprietor | N |
| Credentials | LMT |
NPI Number Detail
| NPI Number | 1508895368 |
|---|---|
| Provider Enumeration Date | 2006-07-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1078 S Ferdon Blvd |
|---|---|
| City | Crestview |
| State | Florida (FL) |
| Post Code | 325364510 |
| Phone Number | 8506831125 |
| Fax Number | 8506830981 |
Provider's Primary Taxonomy Detail
| Speciality | Massage Therapist |
|---|---|
| Taxonomy | 225700000X |
| Licence No | MA0016952 |
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Definition: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| C6565 | FL | BCBS PROVIDER # |
Post Comment/ Review Below
What is the unique identification code assigned to Ronda Lee Panucci by the Centers for Medicare & Medicaid Services?
The Ronda Lee Panucci has been issued the NPI (National Provider Identifier) 1508895368. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Ronda Lee Panucci is located?
The Ronda Lee Panucci is situated at the following address: 1078 S Ferdon Blvd, Crestview, FL, 325364510.
What is Ronda Lee Panucci's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Ronda Lee Panucci is Massage Therapist, and the taxonomy classification code that categorizes this area of expertise is 225700000X.
On what date did the Ronda Lee Panucci receive its 1508895368 assignment from the Centers for Medicare & Medicaid Services?
The Ronda Lee Panucci was assigned its 1508895368 by the Centers for Medicare & Medicaid Services on 2006-07-02.
As of what date were the Ronda Lee Panucci's details last updated?
The information pertaining to the Ronda Lee Panucci, including its address, specialty, and other details, was most recently updated on 2007-07-08.