MEDICARE: KIM C GIUNTA LMHC

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	101YM0800X	Mental Health Counselor	MH6714	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	Z008B	OTHER	FL	BCBS

General Provider Information

NPI Number	:	1831127141
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIM C GIUNTA LMHC

Provider Business Mailing Address
First Line	:	4100 W KENNEDY BLVD
Second Line	:	SUITE 327
City	:	TAMPA
State	:	FL
Zip	:	33609-2288
Country	:	US
Telephone Number	:	813-288-8060
Fax Number	:	813-288-8068

Provider Business Practice Location Address
First Line	:	4100 W KENNEDY BLVD
Second Line	:	SUITE 327
City	:	TAMPA
State	:	FL
Zip	:	33609-2288
Country	:	US
Telephone Number	:	813-288-8060
Fax Number	:	813-288-8068

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

Provider Enumeration Date	:	06/28/2006
Last Update Date	:	08/10/2008

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Directions to “ KIM C GIUNTA LMHC” Practice Location

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