Individual
MRS. IRIS ANTONUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8127 STATE ROAD 54, NEW PORT RICHEY, FL 34655-3000
(727) 372-8046
Mailing address
PO BOX 406153, ATLANTA, GA 30384-1876
(727) 372-8046
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AS0002403
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
610223900
—
FL
Enumeration date
06/15/2006
Last updated
10/07/2008
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