Healthcare Provider Details

I. General information

NPI: 1598720930
Provider Name (Legal Business Name): LOUIS S. GIANNONE, DPM PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 JACARANDA BLVD
VENICE FL
34292-4535
US

IV. Provider business mailing address

518 BAYSIDE WAY
NOKOMIS FL
34275-3439
US

V. Phone/Fax

Practice location:
  • Phone: 941-223-8968
  • Fax: 941-966-6721
Mailing address:
  • Phone: 941-223-8968
  • Fax: 941-966-6721

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. LOUIS S. GIANNONE
Title or Position: OWNER
Credential: DPM
Phone: 941-223-8968