Antonuccio, Joan Marie

Antonuccio, Joan Marie is an sole proprietor health care provider with primary practice located at 10200 Turkey Lake Rd Unit 134, Orlando FL 32819-8017. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Antonuccio, Joan Marie can be contacted via phone (407) 968-7062.

Contact Information

Primary practice address
10200 Turkey Lake Rd Unit 134 Orlando FL 32819-8017
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1366685125
LBN Legal business name Antonuccio, Joan Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2009
Last updated Apr 9th, 2009 - about 16 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 1366685125 NPPES
Florida Other 687809179 PROVIDER NUMBER

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