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
Phone: (407) 968-7062
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1366685125 | NPPES |
Florida | Other | 687809179 | PROVIDER NUMBER |
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