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NPI Code Detail

MEDICARE: MICHELLE LANDON GIAMPOALA APRN

MEDICARE: MICHELLE LANDON GIAMPOALA APRN
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
1363L00000XNurse PractitionerAPRN11040455FL

General Provider Information

NPI Number : 1548061005
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE LANDON GIAMPOALA APRN
Provider Business Mailing Address
First Line : 720 LAKE JESSIE DR
Second Line :
City : WINTER HAVEN
State : FL
Zip : 33881-1150
Country : US
Telephone Number : 863-640-0189
Fax Number :
Provider Business Practice Location Address
First Line : 2000 E EDGEWOOD DR STE 112
Second Line :
City : LAKELAND
State : FL
Zip : 33803-3639
Country : US
Telephone Number : 863-666-3436
Fax Number : 863-667-3550
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2025
Last Update Date : 01/06/2026

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