Provider Demographics
NPI:1043500663
Name:GIAQUINTO, CAROL ANNE
Entity Type:Individual
Prefix:MS
First Name:CAROL ANNE
Middle Name:
Last Name:GIAQUINTO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2629 SHELBY RUTH PL
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34769-4917
Mailing Address - Country:US
Mailing Address - Phone:407-873-6548
Mailing Address - Fax:
Practice Address - Street 1:2629 SHELBY RUTH PL
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34769-4917
Practice Address - Country:US
Practice Address - Phone:407-873-6548
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-15
Last Update Date:2011-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor