Individual provider · Type 1 NPI
Rae Ann Antonucci, P.A.
Medical Physician Assistant · Punta Gorda, FL
NPI number
1619155009
Active
Practice location
122 Nesbit St Ste 112
Punta Gorda, FL 33950-3653
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA9105373 (FL) |
Medical Physician Assistant: Definition to come...
Other medical physician assistant providers in Punta Gorda
About NPI 1619155009
Rae Ann Antonucci, P.A.'s National Provider Identifier is 1619155009, issued on Feb 7, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Punta Gorda, FL. The record was last updated on Apr 20, 2021.