Provider Demographics
NPI:1932573326
Name:GAUNAY, DESTIN (AP)
Entity Type:Individual
Prefix:
First Name:DESTIN
Middle Name:
Last Name:GAUNAY
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:DESTIN
Other - Middle Name:
Other - Last Name:CULWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAC
Mailing Address - Street 1:2759 SR 580
Mailing Address - Street 2:STE 112
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33761
Mailing Address - Country:US
Mailing Address - Phone:805-403-0464
Mailing Address - Fax:
Practice Address - Street 1:2759 STATE ROAD 580
Practice Address - Street 2:STE 112
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33761-3352
Practice Address - Country:US
Practice Address - Phone:805-403-0464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-23
Last Update Date:2015-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3290171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist