Healthcare Provider Details

I. General information

NPI: 1871667709
Provider Name (Legal Business Name): DONALD GIULIANTI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3510 N 32ND TER
HOLLYWOOD FL
33021-2619
US

IV. Provider business mailing address

3510 N 32ND TER
HOLLYWOOD FL
33021-2619
US

V. Phone/Fax

Practice location:
  • Phone: 954-961-5959
  • Fax: 954-961-5779
Mailing address:
  • Phone: 954-961-5959
  • Fax: 954-961-5779

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberME21730
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: