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NPI 1528995115

NPI 1528995115 : GIACCHINO MEDICAL & WELLNESS LLC : CAPE CORAL, FL

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General NPI Number Information
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    NPI Number           |    1528995115
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    Entity Type          |    Organization 
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    Legal Business Name  |    GIACCHINO MEDICAL & WELLNESS LLC 
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Dates
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    Enumeration Date     |    05/06/2026
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    Last Update Date     |    05/06/2026
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Provider Practice Location Address
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    Address Line         |    1523 NW 34TH AVE 
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    City                 |    CAPE CORAL
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    State                |    FL
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    Zip                  |    33993-9519
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    Country              |    US
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    Telephone            |    239-224-9919
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    Fax                  |    765-435-3499
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Provider Business Mailing Address
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    Address Line         |    1523 NW 34TH AVE 
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    City                 |    CAPE CORAL
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    State                |    FL
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    Zip                  |    33993-9519
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    Country              |    US
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    Telephone            |    239-224-9919
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    Fax                  |    765-435-3499
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Authorized Official
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    Title or Position    |    NURSE PRACTITIONER
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    Name                 |     GIOVANNA K GIACCHINO 
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    Credential           |    FNP-BC
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    Telephone            |    239-224-9919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    
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    License Number State |    
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