Healthcare Provider Details

I. General information

NPI: 1316109473
Provider Name (Legal Business Name): GIOVANNA UNGARO DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2008
Last Update Date: 12/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 45TH ST
WEST PALM BEACH FL
33407-2413
US

IV. Provider business mailing address

P O BOX 100724 GREATER FLORIDA EMERGENCY GROUP LLC
ATLANTA GA
30384-0724
US

V. Phone/Fax

Practice location:
  • Phone: 561-844-6300
  • Fax:
Mailing address:
  • Phone: 770-874-6803
  • Fax: 770-874-6833

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code146D00000X
TaxonomyPersonal Emergency Response Attendant
License Number0T011855
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberOS10905
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: