MEDICARE: ALEXANDRA GIANNINI MS, ATC, LAT, CSCS

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	174400000X	Specialist	AL2663	FL

General Provider Information

NPI Number	:	1215228069
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA GIANNINI MS, ATC, LAT, CSCS

Provider Business Mailing Address
First Line	:	231 BOBWHITE RD
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-1718
Country	:	US
Telephone Number	:	561-784-5904
Fax Number	:

Provider Business Practice Location Address
First Line	:	2240 PALM BEACH LAKES BLVD
Second Line	:	STE. 225
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-3410
Country	:	US
Telephone Number	:	561-684-8774
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/27/2011
Last Update Date	:	04/27/2011

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