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NPI Code Detail

MEDICARE: ANTHONY GIELOW D.O.

MEDICARE:   ANTHONY  GIELOW  D.O.
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
1207R00000XInternal Medicine PhysicianOT013773PA
2390200000XStudent in an Organized Health Care Education/Training ProgramUO4558FL
32086S0102XSurgical Critical Care PhysicianOS13926FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235450370
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHONY GIELOW D.O.
Provider Business Mailing Address
First Line : 521 W STATE ROAD 434 STE 301
Second Line :
City : LONGWOOD
State : FL
Zip : 32750-5166
Country : US
Telephone Number : 407-767-5808
Fax Number : 407-767-5892
Provider Business Practice Location Address
First Line : 521 W STATE ROAD 434 STE 301
Second Line :
City : LONGWOOD
State : FL
Zip : 32750-5166
Country : US
Telephone Number : 407-767-5808
Fax Number : 407-767-5892
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2010
Last Update Date : 09/30/2016

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Directions to “ ANTHONY GIELOW D.O.” Practice Location

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