Antonucci, Lawrence R

Antonucci, Lawrence R is an sole proprietor health care provider with primary practice located at 636 Del Prado Blvd S Administration, Cape Coral FL 33990-2668. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Antonucci, Lawrence R can be contacted via phone (239) 573-5630.

Contact Information

Primary practice address
636 Del Prado Blvd S Administration Cape Coral FL 33990-2668
Phone: (239) 573-5630
Fax: (239) 573-4330
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME41153 Florida

Profile Details

NPI number 1942282025
LBN Legal business name Antonucci, Lawrence R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2005
Last updated Oct 26th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942282025 NPPES
Florida Other 36352 BC/BS OF FLORIDA
Florida Other 204526 BC/BS OF FLORIDA

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