Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rae Ann Antonucci, PA

Individual provider Medical Physician Assistant · NPI 1619155009

Rae Ann Antonucci, PA is a Medical Physician Assistant in Punta Gorda, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

122 Nesbit St Ste 112
Punta Gorda, FL 33950-3653
Phone: (941) 347-7707
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9105373 (FL)

Record details

NPI number1619155009
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 7, 2008
Last updated in NPPESApril 20, 2021
Certification dateApril 20, 2021

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