Provider Demographics
NPI:1396772604
Name:PERANTONI, ANNE LOUISE (ARNP, MSN, BC)
Entity type:Individual
Prefix:MS
First Name:ANNE
Middle Name:LOUISE
Last Name:PERANTONI
Suffix:
Gender:F
Credentials:ARNP, MSN, BC
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:1610 NE 158TH ST
Mailing Address - Street 2:
Mailing Address - City:STARKE
Mailing Address - State:FL
Mailing Address - Zip Code:32091-6577
Mailing Address - Country:US
Mailing Address - Phone:904-964-8770
Mailing Address - Fax:904-368-2481
Practice Address - Street 1:1550 S WATER ST
Practice Address - Street 2:
Practice Address - City:STARKE
Practice Address - State:FL
Practice Address - Zip Code:32091-4511
Practice Address - Country:US
Practice Address - Phone:904-368-2480
Practice Address - Fax:904-368-2481
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLAR2030742363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics