Individual
ANNETTE PASSALACQUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3261 US HWY 441, SUITE B3, FRUITLAND PARK, FL 34731
(352) 586-5661
Mailing address
11643 GRAND HILLS BLVD, CLERMONT, FL 34711-6418
(352) 242-8010
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
12/18/2015
Last updated
02/17/2025
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