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NPI Code Detail

MEDICARE: GIACOMO S GUGGINO MD PA

MEDICARE: GIACOMO S GUGGINO MD PA
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
1174400000XSpecialistME14464FL
2174400000XSpecialistME0014464FL

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 : 1649207978
Entity Type Code : Organization
Provider Name (Legal Business Name) : GIACOMO S GUGGINO MD PA
Provider Business Mailing Address
First Line : 3115 W SWANN AVE
Second Line :
City : TAMPA
State : FL
Zip : 33609-4617
Country : US
Telephone Number : 813-879-7711
Fax Number : 813-414-9189
Provider Business Practice Location Address
First Line : 3115 W SWANN AVE
Second Line :
City : TAMPA
State : FL
Zip : 33609-4617
Country : US
Telephone Number : 813-879-7711
Fax Number : 813-414-9189
Authorized Official
Title or Position : OWNER
Name : GIACOMO S GUGGINO
Credential : MD
Telephone Number : 813-879-7711
Provider Enumeration Date : 06/26/2006
Last Update Date : 11/10/2011

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Directions to “GIACOMO S GUGGINO MD PA ” Practice Location

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