Petracco, Gina
Petracco, Gina is an individual health care provider with primary practice located at 25987 S Tamiami Trl Ste 90 , Bonita Springs FL 34134-7810. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Petracco, Gina can be contacted via phone (239) 444-3201.Contact Information
Primary practice address
25987 S Tamiami Trl Ste 90
Bonita Springs FL 34134-7810
Phone: (239) 444-3201
Fax: (239) 992-9359
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA9109770 | Florida |
Profile Details
| NPI number | 1386196426 |
|---|---|
| LBN Legal business name | Petracco, Gina |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2016 |
| Last updated | Mar 23rd, 2018 - about 8 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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