Rae Ann Antonucci in Punta Gorda - Medical
Rae Ann Antonucci - NPI 1619155009
Rae Ann Antonucci is a Medical in Punta Gorda, Florida. Rae Ann Antonucci practices all healthcare services and medical treatments related to Medical. The NPI Number for Rae Ann Antonucci is 1619155009. The last update date is 2021-04-20.
Rae Ann Antonucci's current location address is 122 Nesbit St Ste 112, Punta Gorda, Florida. You can contact this provider via phone number 9413477707. The mailing address for Rae Ann Antonucci is 122 Nesbit St Ste 112, Punta Gorda, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rae Ann Antonucci |
|---|---|
| Address | 122 Nesbit St Ste 112, Punta Gorda, Florida |
| Phone Number | 9413477707 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1619155009 |
|---|---|
| Provider Enumeration Date | 2008-02-07 |
| Last Updated Date | 2021-04-20 |
Provider Mailing Address Detail
| Address | 122 Nesbit St Ste 112 |
|---|---|
| City | Punta Gorda |
| State | Florida (FL) |
| Post Code | 339503653 |
| Phone Number | 9413477707 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA9105373 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 574430236A | GA | -- | |
| Y09FA | FL | BC |
Post Comment/ Review Below
What is the Rae Ann Antonucci's 1619155009?
The Rae Ann Antonucci's NPI (National Provider Identifier) Number is 1619155009. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Rae Ann Antonucci?
The Rae Ann Antonucci is situated at 122 Nesbit St Ste 112, in the city of Punta Gorda, state of FL, with the zip code 339503653.
What is the Rae Ann Antonucci's area of specialization and corresponding taxonomy classification?
The Rae Ann Antonucci's specialty field is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their specialties.
On what date did the Rae Ann Antonucci receive its 1619155009 assignment from the Centers for Medicare & Medicaid Services?
The Rae Ann Antonucci was assigned its 1619155009 by the Centers for Medicare & Medicaid Services on 2008-02-07.
As of what date was the information pertaining to Rae Ann Antonucci, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Rae Ann Antonucci, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-04-20.
NPI Number: 1902809924
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