MEDICARE: GIACCHINO MEDICAL & WELLNESS LLC

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	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1528995115
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GIACCHINO MEDICAL & WELLNESS LLC

Provider Business Mailing Address
First Line	:	1523 NW 34TH AVE
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33993-9519
Country	:	US
Telephone Number	:	239-224-9919
Fax Number	:	765-435-3499

Provider Business Practice Location Address
First Line	:	1523 NW 34TH AVE
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33993-9519
Country	:	US
Telephone Number	:	239-224-9919
Fax Number	:	765-435-3499

Authorized Official
Title or Position	:	NURSE PRACTITIONER
Name	:	GIOVANNA K GIACCHINO
Credential	:	FNP-BC
Telephone Number	:	239-224-9919

Provider Enumeration Date	:	05/06/2026
Last Update Date	:	05/06/2026

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