MEDICARE: DONALD FRANCIS SONZOGNI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	24173	FL

General Provider Information

NPI Number	:	1952648651
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONALD FRANCIS SONZOGNI

Provider Business Mailing Address
First Line	:	1033 A1A BEACH BLVD
Second Line	:
City	:	SAINT AUGUSTINE
State	:	FL
Zip	:	32080-6731
Country	:	US
Telephone Number	:	904-461-0236
Fax Number	:	904-460-1025

Provider Business Practice Location Address
First Line	:	1033 A1A BEACH BLVD
Second Line	:
City	:	SAINT AUGUSTINE
State	:	FL
Zip	:	32080-6731
Country	:	US
Telephone Number	:	904-461-0236
Fax Number	:	904-460-1025

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/15/2013
Last Update Date	:	01/15/2013

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Directions to “ DONALD FRANCIS SONZOGNI ” Practice Location

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