Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | OS1120 | FL |
NPI | 1033141106 |
---|---|
Provider Name | Penny Marie Giovanetti |
First Address | Gainesville, FL 32605-4582 |
Second Address | Ocala, FL 34474-6616 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2006 |
Last Update Date | 17/05/2012 |