Provider Demographics
NPI:1841697703
Name:CAHILI ANNUNZIATO, RICCI (FNP)
Entity type:Individual
Prefix:
First Name:RICCI
Middle Name:
Last Name:CAHILI ANNUNZIATO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 25487
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34277-2487
Mailing Address - Country:US
Mailing Address - Phone:863-679-8000
Mailing Address - Fax:863-679-2694
Practice Address - Street 1:2209 NORTH BLVD W STE A
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:FL
Practice Address - Zip Code:33837-8903
Practice Address - Country:US
Practice Address - Phone:863-679-8000
Practice Address - Fax:863-679-2694
Is Sole Proprietor?:No
Enumeration Date:2014-11-20
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00534100363LF0000X
FLAPRN11015560363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily