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NPI Code Detail

MEDICARE: DR. JUAN C GIACHINO JR. MD

MEDICARE: DR. JUAN C GIACHINO JR. 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
12086S0122XPlastic and Reconstructive Surgery PhysicianME86071FL

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 : 1790708022
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JUAN C GIACHINO JR. MD
Provider Business Mailing Address
First Line : 2845 PGA BLVD
Second Line :
City : PALM BEACH GARDENS
State : FL
Zip : 33410-2910
Country : US
Telephone Number : 772-283-8160
Fax Number : 772-283-8177
Provider Business Practice Location Address
First Line : 2601 S KANNER HWY
Second Line :
City : STUART
State : FL
Zip : 34994-4622
Country : US
Telephone Number : 722-192-7777
Fax Number : 772-219-0017
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2006
Last Update Date : 10/28/2020

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