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Contact Information

ANNETTE PASSALACQUA
3261 US HWY 441
SUITE B3
FRUITLAND PARK, FL34731
 Phone: 352-586-5661
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
 

Case Manager/Care Coordinator

171M00000X
 

Developmental Therapist

222Q00000X
Indicates primary specialty

NPI Profile & details for ANNETTE PASSALACQUA · (Female)

NPI Number 1972968816
Status Active
Credentials
Entity Individual
Enumeration date 12/18/2015
Last updated 02/17/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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