Giovannelli, Richard
Giovannelli, Richard is an individual health care provider with primary practice located at 600 E Dixie Ave , Leesburg FL 34748-5925. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Giovannelli, Richard can be contacted via phone (352) 867-8898.Contact Information
Primary practice address
600 E Dixie Ave
Leesburg FL 34748-5925
Phone: (352) 867-8898
Fax: (352) 732-6282
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME45735 | Florida |
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | ME45735 | Florida |
Profile Details
NPI number | 1588602783 |
---|---|
LBN Legal business name | Giovannelli, Richard |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 2nd, 2006 |
Last updated | Jul 24th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1588602783 | NPPES |
Florida | MEDICAID | 023744500 | |
Florida | Other | 04245 | |
Florida | Other | 505428580 | |
Florida | Other | 050085132 |
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