person
Rae Ann Antonucci, PA
Medical Physician Assistant in Punta Gorda, Florida
NPI 1619155009

Rae Ann Antonucci is a Medical Physician Assistant based in Punta Gorda, FL and is specialized in Medical. Rae Ann Antonucci practices in Punta Gorda, FL and has the professional credentials of PA. The NPI Number for Rae Ann Antonucci is 1619155009 and holds a License No. PA9105373 (Florida).

The current practice location address for Rae Ann Antonucci is 122 Nesbit St Ste 112, Punta Gorda, FL and can be reached out via phone at 941-347-7707. You can also correspond with Rae Ann Antonucci through the mailing address at 122 NESBIT ST STE 112, PUNTA GORDA, FL - 33950-3653 (mailing address contact number: 941-347-7707).

Location: 122 Nesbit St Ste 112, Punta Gorda, FL, 33950-3653
person
Provider Profile Details
NPI Number
1619155009
Provider Name
Rae Ann Antonucci
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
122 Nesbit St Ste 112, Punta Gorda, FL, 33950-3653
Phone Number
941-347-7707
Fax Number
Provider Enumeration Date
02/07/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
574430236A 05 GA
Y09FA 01 FL BC
institution
Provider Business Practice Location Address Details
Address
122 Nesbit St Ste 112
City
State
Zip
33950-3653
Phone Number
941-347-7707
Fax Number
person
Provider Business Mailing Address Details
Address
122 Nesbit St Ste 112
City
State
Zip
33950-3653
Phone Number
941-347-7707
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA9105373 (Florida)
Definition
Definition to come...
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