1285948612 NPI number — FLORIDA MEDICAL SOLUTIONS, LLC

Table of content: DR. GIANNA ROSE FERRANTI D.D.S. (NPI 1043448822)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285948612 NPI number — FLORIDA MEDICAL SOLUTIONS, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FLORIDA MEDICAL SOLUTIONS, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1285948612
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/27/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
13860 WELLINGTON TRCE # 38-203
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WELLINGTON
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33414-8588
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
561-719-4598
Provider Business Mailing Address Fax Number:
561-333-5709

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1100 S MAIN ST STE 101
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BELLE GLADE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33430-4910
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
561-719-4598
Provider Business Practice Location Address Fax Number:
561-333-5709
Provider Enumeration Date:
07/27/2010

Additional Information

Authorized Official

Authorized Official Last Name:
YEE
Authorized Official First Name:
GARVIN
Authorized Official Middle Name:
Authorized Official Title or Position:
MEDICAL DIRECTOR
Authorized Official Telephone Number:
561-719-4598

Provider Taxonomy Codes

  • Taxonomy code: 3336C0002X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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