Individual
ANTONELLO BUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASE MANAGER
Contact information
Practice address
1221 W LAKEVIEW AVE, PENSACOLA, FL 32501-1857
(850) 469-3500
(850) 595-1400
Mailing address
1221 W LAKEVIEW AVE, PENSACOLA, FL 32501-1857
(850) 469-3500
(850) 595-1400
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001637200
—
FL
Enumeration date
04/02/2007
Last updated
02/29/2016
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