Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | CH5633 | FL |
NPI | 1083653430 |
---|---|
Provider Name | Dr. Frank V. Giampietro JR. |
First Address | Stuart, FL 34994-7204 |
Second Address | Stuart, FL 34994-7204 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T85307 | (02) | FL |