MEDICARE: DR. ROBERT JOSEPH GIALANELLA MD

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	207RG0100X	Gastroenterology Physician	ME79590	FL

General Provider Information

NPI Number	:	1689679367
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT JOSEPH GIALANELLA MD

Provider Business Mailing Address
First Line	:	1410 THRASHER DR
Second Line	:
City	:	PUNTA GORDA
State	:	FL
Zip	:	33950-7697
Country	:	US
Telephone Number	:	941-637-0769
Fax Number	:

Provider Business Practice Location Address
First Line	:	1900 BROTHER GEENEN WAY
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34236-7102
Country	:	US
Telephone Number	:	941-556-3220
Fax Number	:	941-955-8214

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

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	08/14/2019

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