Antonucci, Iris

Antonucci, Iris is an individual health care provider with primary practice located at 8127 State Road 54 , New Port Richey FL 34655-3000. She recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as her primary health care specialty. Antonucci, Iris can be contacted via phone (727) 372-8046.

Contact Information

Primary practice address
8127 State Road 54 New Port Richey FL 34655-3000
Phone: (727) 372-8046
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X AS0002403 Florida

Profile Details

NPI number 1073557658
LBN Legal business name Antonucci, Iris
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Oct 7th, 2008 - 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 1073557658 NPPES
Florida MEDICAID 610223900

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