Individual
DR. MICHAEL J ANNUNZIATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1676 NEW POINT COMFORT RD, ENGLEWOOD, FL 34223-4878
(770) 841-1520
Mailing address
1676 NEW POINT COMFORT RD, ENGLEWOOD, FL 34223-4878
(770) 841-1520
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
050123
GA
207P00000X
Emergency Medicine Physician
Primary
084156
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000975895C
—
GA
05
—
000975895D
—
GA
Enumeration date
08/17/2006
Last updated
10/15/2020
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