MEDICARE: DINA M GIOVANETTI ARNP

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	363L00000X	Nurse Practitioner	NP2967172	FL

General Provider Information

NPI Number	:	1316992357
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DINA M GIOVANETTI ARNP

Provider Business Mailing Address
First Line	:	4801 S CONGRESS AVE
Second Line	:	SUITE 201
City	:	LAKE WORTH
State	:	FL
Zip	:	33461-4746
Country	:	US
Telephone Number	:	561-253-3980
Fax Number	:	561-253-3985

Provider Business Practice Location Address
First Line	:	4801 S CONGRESS AVE
Second Line	:	SUITE 201
City	:	LAKE WORTH
State	:	FL
Zip	:	33461-4746
Country	:	US
Telephone Number	:	561-253-3980
Fax Number	:	561-253-3985

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

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	07/02/2013

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