RAE ANN ANTONUCCI P.A.
NPI 1619155009
Physician Assistant - Medical in Punta Gorda, FL

Q: What is Rae Ann Antonucci's NPI number?

The NPI number for Rae Ann Antonucci is 1619155009. It was assigned to this individual provider in the NPPES registry on February 7, 2008.

Q: What is Rae Ann Antonucci's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Rae Ann Antonucci was last updated on April 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 07, 2008

122 NESBIT ST STE 112, PUNTA GORDA, FL 33950(941) 347-7707 Get Directions Write a Review

NPPES record last updated: April 20, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 20, 2021, Mar 25, 2020 (2 updates tracked since 2020).

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About Rae Ann Antonucci P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAE ANN ANTONUCCI P.A. (NPI 1619155009) is an individual medical provider in Punta Gorda, Florida, licensed in Florida (PA9105373) and active in the NPI registry since February 2008.

NPPES Registry Identity

NPI1619155009

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameRAE ANN ANTONUCCICredential: P.A.

Location Address122 NESBIT ST STE 112Punta Gorda, FL 33950-3653

Mailing Address122 Nesbit St Ste 112Punta Gorda, FL 33950-3653 · (941) 347-7707

Phone(941) 347-7707

Sole ProprietorNo

Enumeration DateFebruary 7, 2008

Last NPPES UpdateApril 20, 20212 updates tracked since enumeration

NPPES CertifiedApril 20, 2021

✔ NPI 1619155009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in FL · PA9105373

122 NESBIT ST STE 112, Punta Gorda, FL 33950

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Other Identifiers 2

OtherY09FAFL · Bc

Medicaid574430236AGA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rae Ann Antonucci's NPI number?

The NPI number for Rae Ann Antonucci is 1619155009. It was assigned to this individual provider in the NPPES registry on February 7, 2008.

Where is Rae Ann Antonucci located?

Rae Ann Antonucci practices at 122 Nesbit St Ste 112, Punta Gorda, FL 33950. The listed phone number is (941) 347-7707.

What is Rae Ann Antonucci's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Rae Ann Antonucci was last updated on April 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.