Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | DN0008526 | FL |
NPI | 1225031222 |
---|---|
Provider Name | Dr. Michael Joseph Gioia JR. |
First Address | Boca Raton, FL 33431-6401 |
Second Address | Boca Raton, FL 33431-6401 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2005 |
Last Update Date | 08/07/2007 |