MISS RONDA LEE PANUCCI (NPI# 1508895368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508895368 |
| Entity Type | Individual |
| Full Name | MISS RONDA LEE PANUCCI |
| Credential | LMT |
| Practice Address |
1078 S Ferdon Blvd Crestview FL 32536-4510 |
| Practice Telephone | 8506831125 |
| Practice Fax Number | 8506830981 |
| Mailing Telephone | 8506831125 |
| Mailing Fax Number | 8506830981 |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA0016952 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS PROVIDER # | C6565 | 01 |
| Street Address |
1078 S FERDON BLVD |
| City | CRESTVIEW |
| State | FL |
| Zip Code | 32536-4510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821353046 | Emily Bowling Creasy | Dietitian, Registered | 1078 S Ferdon Blvd, Crestview, FL 32536-4502 | 2012-07-13 |
| 1144343344 | Ronda Panucci Massage, LLC | Massage Therapist | 1078 S Ferdon Blvd, Suite B, Crestview, FL 32536-4510 | 2007-04-10 |
| 1245268192 | Anita F Kelley-dukes | Chiropractor | 1078 S Ferdon Blvd, Suite A, Crestview, FL 32536-4510 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831684901 | Eva Maria I Matute | Adult Companion | 6050 Trestle St, Crestview, FL 32536 | 2018-06-29 |
| 1669989232 | Lauren Estep Flowers | Physician Assistant | 550 Redstone Ave W Ste 370, Crestview, FL 32536 | 2018-01-04 |
| 1427444868 | Jessie Huisken | Social Worker | 5890 Saratoga Dr, Crestview, FL 32536 | 2015-04-13 |
| 1679846166 | John D. Carlson Md | Specialist | 492 North Wilson Street, Crestview, FL 32536 | 2012-02-15 |
| 1154609691 | Alternative Living, Inc. | Assisted Living Facility | 603 North Pearl Street, Crestview, FL 32536 | 2011-08-02 |
| 1487821526 | Michael G Foley Md Pa | Internal Medicine | 524 James Lee Blvd W, Crestview, FL 32536 | 2008-05-08 |
| 1184805830 | Advanced Family Medicine Clinic Inc | Family Medicine | 327 Medcrest Drive, Unit A, Crestview, FL 32536 | 2007-11-23 |
| 1164631511 | Caring Hearts Pediatric Extended Care Center, Inc | Clinic/Center | 380 Medcrest Dr, Crestview, FL 32536 | 2007-05-22 |
| 1669697751 | Crestview Chiropractic Clinic, Inc. | Chiropractor | 1078 S. Ferdon Boulevard, Suite A, Crestview, FL 32536 | 2007-04-16 |
| 1457492886 | Roy M Nakaiye | Dentist | 222 Cedar Ave, Crestview, FL 32536 | 2007-02-09 |
| Find all providers in zip 32536 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417289505 | Michael Zale Stern | Massage Therapist | 424 W James Lee Blvd, Crestview, FL 32536-2638 | 2010-02-01 |
| 1992987150 | Judith M Brown | Massage Therapist | 3086 Astro Dr, Crestview, FL 32539-8590 | 2007-11-29 |
| 1083808091 | Marcy M Bertling | Massage Therapist | 101 Duggan Ave, Crestview, FL 32536-4812 | 2007-09-03 |
| 1164754917 | Tami Michelle Barnes | Massage Therapist | 424 W James Lee Blvd, Crestview, FL 32536-2638 | 2010-02-04 |
| 1144343344 | Ronda Panucci Massage, LLC | Massage Therapist | 1078 S Ferdon Blvd, Suite B, Crestview, FL 32536-4510 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598204 | Zenus Annzarie Goodyard | Massage Therapist | 3076 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3246 | 2020-11-03 |
| 1558962886 | Felicia Warner | Massage Therapist | 2750 Cypress Trace Cir Apt 2620, Naples, FL 34119-8077 | 2020-11-03 |
| 1497355184 | Ashley Feehan | Massage Therapist | 32806 Lister Rd, Dade City, FL 33523-6413 | 2020-10-30 |
| 1932709904 | Franchesca Bairam | Massage Therapist | 206 37th Ave N, Saint Petersburg, FL 33704-1416 | 2020-10-29 |
| 1679173538 | Benson Tong | Massage Therapist | 3530 1st Ave N Ste 206, Saint Petersburg, FL 33713-8442 | 2020-10-29 |
| 1801496989 | Alivia L Mckamey | Massage Therapist | 533 Nw 28th St, Gainesville, FL 32607-2512 | 2020-10-28 |
| 1992305189 | Julie Accorti | Massage Therapist | 36 Memorial Pkwy Sw, Fort Walton Beach, FL 32548-6512 | 2020-10-28 |
| 1487254785 | Rigoberto Rosa | Massage Therapist | 51 Ne 24th St, Miami, FL 33137-5385 | 2020-10-27 |
| 1982204392 | Cindy Figh | Massage Therapist | 11408 Coventry Grove Cir, Lithia, FL 33547-4929 | 2020-10-27 |
| 1639778152 | Megan A Chapman | Massage Therapist | 1504 Ringmore Ct, Dover, FL 33527-4960 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.