Provider Demographics
NPI:1245752799
Name:NUNEZ, ANGELINA NOEMI (RRT)
Entity Type:Individual
Prefix:
First Name:ANGELINA
Middle Name:NOEMI
Last Name:NUNEZ
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7224 BURGESS DR
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-7519
Mailing Address - Country:US
Mailing Address - Phone:786-502-1330
Mailing Address - Fax:
Practice Address - Street 1:7224 BURGESS DR
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33467-7519
Practice Address - Country:US
Practice Address - Phone:786-502-1330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-15
Last Update Date:2017-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRT10679227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered