Carnuccio, Patti M

Carnuccio, Patti M is an individual health care provider with primary practice located at 224 Se 24Th St , Gainesville FL 32641-7516. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Carnuccio, Patti M can be contacted via phone (352) 334-7900.

Contact Information

Primary practice address
224 Se 24Th St Gainesville FL 32641-7516
Phone: (352) 334-7900
Fax: (352) 955-2126
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1598891202
LBN Legal business name Carnuccio, Patti M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2007
Last updated Sep 11th, 2008 - 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 1598891202 NPPES
Florida MEDICAID 670737800

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