Healthcare Provider Details

I. General information

NPI: 1154158582
Provider Name (Legal Business Name): HANNAH CUNEO SONNIER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HANNAH LEIGH CUNEO

II. Dates (important events)

Enumeration Date: 09/18/2024
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1034 MAR WALT DR
FT WALTON BCH FL
32547-6639
US

IV. Provider business mailing address

47 SANDY COVE WAY
SANTA ROSA BEACH FL
32459-2641
US

V. Phone/Fax

Practice location:
  • Phone: 850-863-2153
  • Fax: 850-809-4312
Mailing address:
  • Phone: 985-226-9550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number9119247
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: