MEDICARE: MRS. ANGELA GIAVANNA KESSELMAN MS

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	133N00000X	Nutritionist

General Provider Information

NPI Number	:	1811784820
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANGELA GIAVANNA KESSELMAN MS

Provider Business Mailing Address
First Line	:	3019 ALCAZAR PL APT 107
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-2885
Country	:	US
Telephone Number	:	609-579-2757
Fax Number	:

Provider Business Practice Location Address
First Line	:	3019 ALCAZAR PL APT 107
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-2885
Country	:	US
Telephone Number	:	609-579-2757
Fax Number	:

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

Provider Enumeration Date	:	04/22/2025
Last Update Date	:	04/22/2025

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